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AUG 09 W4 <br /> Si�AN .IOAGUIN COUNTY - ENVIRONMENTAL HEALTH DIVfj <br /> ^� LOP PROGRAM - MFR INPUT FORM <br /> F <br /> PDATEvJ�L�jBY REVIEWED 8Y DATE ENTERED $�.lu2o 8Y <br /> ADDITION: EDIT• rte df tF' <br /> iqu <br /> ENTERED LOP SJ/PHS CONTACT C PRIORITY <br /> NOR SENT LOC CODE* DIST J PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC OUARTERLY�REPORT INFORMATION <br /> CONTRACTOR #1 39000 SUBSTANCE Y11f/ L� 2 <br /> SITE CODE 63VZ <br /> RCE OF FUNDS S l FED EXEMPT, Y / PETROLEUM ( lfj 1 N <br /> SITE NAME D py�C DATE REPORTED <br /> ADDRESS (L J T917�f fi S DATE GON F I RMED <br /> 511 <br /> h (l <br /> CITY l / CA ZIP 'Z/S/n MULTIPLE RP's Y <br /> L <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (9 G D 1 2 3 5 6 7 8 <br /> RP SEARCH © 1 N R DATE UNDERWAY 41311 L COMPLETED qll 3 q <br /> PRELIMINARY ASSESSMENT OC DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION UDATE UNDERWAY COMPLETED 19 <br /> REMEDIAL ACTION U 1 - ` DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Q N ENFORCEMENT TYPE 2 .3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 © ® W G 0 17X�A;7ZI <br /> EXCAVATION STARTED !//L CASE CLOSED Dy <br /> R C L DATE CLOSED 6 <br /> REMEDIAL ACTION TAKEN CD C8 ET FP GT IT RS HU NA VS` VE NT OT UK <br /> V Primary / Additional RESPONSIBLE PARTY <br /> 4 <br /> COMPANY NAME !iJ Q ��C a PHONE w <br /> CONTACT NAME J 1� ne PHONE ']�G�,; �S '7j <br /> ADDRESS Fa r <br /> CITY �, d�$n STATE, C/� 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 />