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PHS?ftMM JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI`J" <br /> LOP PROGRAM - MFR INPUT FORM .SUN 2 4 1994 <br /> UPDATE % Gly BY ��"�,�Q REVIEWED BY DATE ENTERED <br /> G t� <br /> ADDITION:— EDIT-_ <br /> ENTERED LOP / SJ/PHS CONTACTII LJ PRIORITY <br /> NOR SENT LOC CODE �/ DIST �� �(l PROGRAM/ELEMENT CODE J <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 Qo o((/ 2 3 <br /> •� SOURCE OF FUNDS S / f FED EXEMPT Y / N PETROLELM Y / N <br /> SITE C DE L�} / <br /> SITE NAME DATE REPORTED 7 <br /> ADDRESS ' (- d j G � DATE CONFIRMED q /6 �6 <br /> CITY Cq!. 1r CA ZIP �� �,pj`� MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPES CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S CGJ D 1 2 3 4 5 6 7 8 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED \j�7 <br /> 0 <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY / COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U) <br /> l 1 C DATE UNDERWAY G' CRIPLETED <br /> POST REM ACT MONITORING /Y� N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN / Y / N ENFORCEMENT TYPE F C1// 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED -) 1 CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN 1 CDC 1 CB ED ET FP Q IT RS HU NA VS VE' NT OT UK <br /> Primary / _Additional RESPONSIBLE PARTY <br /> COMPANY HANE c C PHONE <br /> sc�n�- /awl �u l�• �. Slv <br /> CONTACT NAME /� //i �� PHONE <br /> ADDRESS `_Cttt---""" LL//�?ZI ✓c-v <br /> CITY La>ti-C ( L� STATE ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />