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PH64,.,,! JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV? N <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 42 BY REVIEWED BY DATE ENTERED � ' � BY 01 <br /> y i <br /> ADDITION: EDIT: <br /> ENTERED PILOT p SJ/PHS CONTACT 54EEPS * 3 PRIORITY <br /> NOR SENT G LOC CODE Iff DIST U PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION 6 <br /> CONTRACTOR # 39000 SUBSTANCE #1 2 j <br /> SITE CODE /� 2 50URCE Of FUNDS / F FED EXEMPT Y / PETROLEUM ! N <br /> SITE NAME J !� ` �21 <br /> DATE REPORTED /j Z <br /> ADDRESS dl O J DATE CONFIRMED -5172 <br /> CITY CA ZIP ~7�O MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U 6) <br /> G D 1 3 4 5 7 8 9 1 <br /> RP SEARCH 5 I N R DATE UNDERWAY �� COMPLETED y ? <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY / COMPLETED a� C <br /> REMEDIAL INVESTIGATION U vx_ DATE UNDERWAY J COMPLETED <br /> REMEDIAL ACTION U 1 C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING �Y� N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN r T/ N ENFORCEMENT TYPE 2 3 4 5 G DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 2 3 H '�J 0 <br /> EXCAVATION STARTED CASE CLOSE:Dj Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT 1T RS HU NA VS <br /> rimary / Additional RESPONSIBLE PARTY <br /> ----------- <br /> COMPANY <br /> fiCOMPANY NAME / M G PHONEq[jl „1'pr <br /> of <br /> CONTACT NAME /2 PHONE /n Y. ar <br /> ADDRESS Ak ho <br /> s <br /> CITY STATE ZIP <br /> / ` G <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISFD 11/90 89-20(IV)01/90 PILMFA <br />