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PHS/SAN'*.-J(QUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION,,✓) <br /> LOP PROGRAM - MFR INPUT FORM �+ <br /> UPDATE O, BY REVIEWED BY DATE ENTERED ',' ], 3 1994 BY <br /> ADDITION• EDIT: <br /> ENTERED LOP SJ/PHS CONTACT ��� PRIORITY <br /> NOR SENT /D.` � LOC CODE oI DIST PROGRAM/ELEMENT CODE 2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR * 39000 SUBSTANCE 91 <br /> SITE CCDE C l � OURCE OF FUNDS S / FED EXEMPT Y / PETROLEUM / N <br /> S <br /> SITE NAME O',w1 Re�, & DATE REPORTED <br /> rAk <br /> ADDRESS /��2 I DATE CONFIRMED I -94 <br /> CITY J ttJ `��I www CA ZIP MULTIPLE RP's Y / No <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (D G 0 1 2 4 5 6 7 8 <br /> RP SEARCH I (�) I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT cu) C DATE UNDERWAY I O- COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C' DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 S © A R W G O 3-9 <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> ✓Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME 5� PHONE <br /> �o `C J J <br /> CONTACT NAME 5T7 i C.+ <br /> G S PHONE <br /> ADDRESS 10 <br /> W <br /> CITY STATE �S ZIP _ 12I <br /> Additional RP's Listed on REVERSE SIDE HATED,MFR INM On REVERSE, SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 8/92 <br />