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PHJrWAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVP!f011 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE �� JBY �� REVIEWED BY (�, DATE ENTERED /� CJ� BY <br /> ADDITION.• V/" EDIT: / C/ <br /> ENTERED LOP / ,�� SJ/PHS CONTACT N PRIORITY <br /> NOR SENT 3 . 12- f7 LOC CODE ! EU <br /> ' 7 PROGRAM/ELEMENT CODE <br /> / SITE/ SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 12C 3 2 <br /> SITE CODE / Z SOURCE OF FUNDS S / FED EXEMPT Y / fW 1PETROLEUMYO / N <br /> SITE NAME 1,L,�1, , O 7 DATE REPORTED D 7,q� <br /> ADDRESS / N �,/ DATE CONFIRMED <br /> CITY s1i61 >�T K/ CA ZIP MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S (�) D 1 2 3 4 SO 7 8 9 0(>- 9/ <br /> RP SEARCH I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION C DATE UNDERWAY ��_�/ COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING oy <br /> YYN U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 V O O O © R ® lG/ 0 2- <br /> EXCAVATION <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME /�_ �/ �D ` PHONE <br /> CONTACT NAME v[' /, PHONE � ! ( � � - 1 <br /> ADDRESS <br /> -T <br /> CITY , STATE ZIP <br /> Additional RP's listed on REVERSE SIDE C0NTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISEO 11/90 89-20(IV)01/90 PILMFA <br />