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PHI JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D11N <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE Q +2 J BY REVIEWED BY DATE ENTERED SEP 2 0 19931 BY <br /> L-3 I1 �YY <br /> ADDITION:_ EDIT: <br /> ENTERED LOP SJ/PHS CONTACT - .� PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/EL ENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION r <br /> CONTRACTOR # 39000 SUBSTANCE #1 2 <br /> SITE CODE f SOURCE OF FUNDS �S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME - DATE REPORTED <br /> i <br /> ADDRESS DATE CONFIRMED <br /> CITY CA TIP F <br /> MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 6 7 8 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C f 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 /> -- <br /> ENFORCEMENT ACT TAKEN Y NTFORCEMENT TYPE 1 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 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 / Additionat RESPONSIBLE PARTY <br /> COMPANY NAME PHONE' <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> E. . <br /> Additionet RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8192 89-20(IV)01/90 PILMFA <br />