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--• <br /> PH%,,w4 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV%06N <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 1 -7- BY REVIEWED BY DATE ENTERED BY <br /> ADDITION: EDIT: <br /> ENTERED PILOT ' u7. SJ/PHS CONTACT \SF <br /> SWEEPS # 12- PRIORITY <br /> NOR SENT LOC CODE \ DIST "-- PROGRAM/ELEMENT CODE 9 2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # F39000 SUB TANCE #1 1 L. 21 H I 5 <br /> SITE CODE Z C6 SOURCE OF FUNDS S /( F j FED EXEMPT Y// 01 PETROLEUM N <br /> SITE NAME DATE REPORTED �_' . <br /> ADDRESS ��� ` gl�` � DATE CONFIRMED , 31— <br /> CITY -S\In C vL CA ZIPAY <br /> �z 3 MULTIPLE RP's Y / NO <br /> S E STATUS/Ax A c\\ <br /> t <br /> CASE TYPE CONTRA STAT T TUS C NGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 9 <br /> RP SEARCH I N R^ TE RWAY COMPLETED l l w <br /> PRELIMINARY ASSESSMENT U / <br /> Cf <br /> J D E UNDER Y _ K COMPLETED �./, go <br /> REMEDIAL INVESTIGATION U `fir DATE UNDERWAY _ Z-47 0 COMPLETED 7- <br /> REMEDIAL <br /> REMEDIAL ACTION ® I C DATE UNDERWAY l - ] COMPLETED <br /> POST REM ACT MONITORING Y ( N"J U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y EN F CEMENT TYPE 1 2 3 4 5 G DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 3 00 © � R W G 0 <br /> EXCAVATION STARTED �`1O CASE CLOSEDR H DATE CLOSED 17- �� r <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT R HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME �- C �L .� PHONE �© / ©Z yb <br /> CONTACT NAME ' ` PHONE / r <br /> ADDRESS <br /> CITY STATE o4 ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />