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J <br /> LIAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DkI4ION <br /> LOP PROGRAM - MFR INPUT FORM " <br /> UPDATEF BY REVIEWED BY DATE ENTERED r=_�-Q +; BY .�• <br /> ff lj <br /> ADDITION; EDIT: <br /> ENTERED LOP Z �f SJ/PHS CONTACT � � S PRIORITY <br /> t <br /> -NOR-SENT, Dl- ���� LOC CODE 1 DIST A PROGRAM/ELEMENT CODE a <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> - j <br /> CONTRACTOR # 39000 SUBSTANCE #1 Z, 3 �Zo3`, f <br /> SITE CODE a SOURCE OF FUNDS S / -FED EXEMPT Y / • =(::�� �ETi�LEUM o / N <br /> SITE NAME aVY 40- h1Gi` jr0!p�V DATE REPORTED <br /> ADDRESS G�-1�cS } }'Ld fjrrLs e DATE CONFIRMED <br /> CITY 1I l� V--� CA ZIP q 3 3 a MULTIPLE RP'sY / N <br /> SITE STATUS <br /> CASE TYPE ,.CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> US G D 1 2 3 1 4 '1 5 7 $ 9 �2 ' � •G� <br /> RP SEARfiHSO I N R i' DATE UNDERWAY -5, GC( COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY ,c)Q, O COMPLETED <br /> 1 <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 TYPi,E T 1 2 3 4 S 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 i H S C -A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED . ET FPS GT IT RS HU' NA VS <br /> Primary / Additional RESPONSIBLE PARTY 1 <br /> COMPANY NAME Q ayQrj (� ! [\A Y1_ PHONE <br /> CONTACT NAME C}h1lti K. <br /> k t�C�f��S�!/���. ,,�, : r PHONE0��`� T <br /> Zoo 5 <br /> ADDRESS tC71/\�►..• � r''; � ,1 <br /> 3 <br /> CITY (f r�, 1 STATE J' cAr ZIP <br /> Additional RP's listed on REVERSE SIDE 3 CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09189)REVISED 11/90 89-20(1V)01/90 PILMFA <br />