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qf- <br /> PHA JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV1 ! <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY REVIEWED BY - 4kj <br /> DATE ENTERED <br /> V <br /> ADDITION• EDIT: <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 2 3 <br /> SITE CODE (��I 7FRCE OF FUNDS1. S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY CA ZIP MULTIPLE RP's Y N <br /> SITE STATUS r <br /> CASE TYPE CONTRACT STATUS646.ACHIN;; DAT E GEN S E <br /> U S G D 1 2 3 4 5 7 8 <br /> 7 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION kL C , DATE UNDERWAY S/Z COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY f COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT 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 /> LO/Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME ,D iy C� PHONE yI� �7 r 'y q <br /> f1V�- <br /> CONTACT NAME PHONE /r z b <br /> ADDRESS f <br /> CITY �—.1b���"1� STATE l _ 21P q(fVl `Z <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 />