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IOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV1LOP PROGRAM - MFR INPUT FORM <br /> UPDATE]:JPHS <br /> REVIEWED BY '/t DATE ENTERED 9BY ADDITION:_ EDIT:__ <br /> ENTERED PILOT /z SJ/PHS CONTACT Cp11�sEPROGRAM/ELESM�l <br /> HEP `�/_ PRIORITY <br /> NOR SENT G LOC C E of DIST q, 2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 OQ T <br /> 5 <br /> SITE CODE /Z „ SOURCE OF FUNDF FED EXEMPT Y / PETROLEUM / N <br /> ('/0DATE REPORTED <br /> SITE NAME <br /> DATE CONFIRMED <br /> ADDRESS <br /> CITY C21 <br /> A P dao 0 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 3 4 5 7 8 9 /z ,7 <br /> RP SEARCH I N R DATE UNDERWAY COMPLETED <br /> \/ c <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U SLG <br /> DATE UNDERWAY A COMPLETED <br /> REMEDIAL ACTION <br /> U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING JY`WN <br /> N U C DATE UNDERWAY <br /> COMPLETED <br /> ENFORCEMENT ACT TAKEN / Y ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> �/ RG 0 <br /> LUFT CONSIDERATION 13 H � O `/1' <br /> EXCAVATION STARTED <br /> CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CO CB ED ET FP GT IT RS HU NA VS <br /> Primary / _Additional RESPONSIBLE PARTY <br /> PHONE <br /> COMPANY NAME / pt . k✓— <br /> PHONE 6 ..,, <br /> CONTACT NAME U G � o[ <br /> ADDRESS <br /> CITY 7.,4�,.. �D//� STATE �J�e 21P <br /> C.Jr'I�VLi-- CONTAMINATED MFR INFO on REVERSE SIDE <br /> Additional RP's listed on REVERSE IDE <br /> 89.20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />