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MODIFY CONTAMINATED MFR SITE DATA [!0p2:/08/99 <br /> DATE : PRIORITY <br /> Site Code : 508385 Name Code 999 <br /> UGT: Y LOP : N H W: N Site Mitig: N PWS : N Priv Well : N Env Assess : Y <br /> Solid Waste : N H2O Q: N EPI : N Land Use : N Othr Agency Rept : N Emerg Resp: N <br /> Entered LOP : SJ/PHS Contact : WONG LEAD AGY: PHS/EHD <br /> NOR sent : Loc Code : 2 Dist : 4 Prog/Element : 2950 <br /> Fund Source : N Fed Exempt : N WDR Y/N: N NPDES Y/N: N <br /> Site Specific Quarterly Report Information <br /> 1 2 3 4 5 <br /> Site Code : 508385 Petroleum: Y <br /> Site Name : (DENTAL OFFICE) Date Reported: 01/26/99 <br /> Address : 1108 W TOKAY ST Date Confirmed: 01/26/99 <br /> City: LODI CA Zip : 95240 Multiple RP ' s : N <br /> ................................................................ Site Status .................................................................. <br /> Case Type : S Emergency Response : Contract Status : 1 Status <br /> Underway Completed Changes <br /> RP Search: 1 01/26/99 <br /> Preliminary Assessment : 2 <br /> Remedial Investigation: 3 <br /> Remedial Action: 4 <br /> Post-Remedial Action Monitoring: 5 <br /> 7 <br /> Enforcement Action Taken: Type : Date : 8 <br /> LUFT Consideration: 9 <br /> Excavation Started: Case Closed: Date : <br /> Remedial Action Taken: <br /> ........................................................ SITE AND FILE STATUS ........................................................ <br /> Water Depth: 0 Gradient : Wells Nearby Type <br /> Last Sample Date : 00/00/00 500 ' ---> IR ---> <br /> 1000 ' ---> DOM ---> <br /> Flag Date : 00/00/00 2000 ' ---> PUB ---> <br /> ............................................................ Contaminated MFR ............................................................ <br /> ►FPT: N ►Soil : N ►GW: N <br /> Failed PT: 00/00/00 Soil Con: 00/00/00 GW Con: 00/00/00 DW Con: N <br /> Prior Failed PT: N No Action: N MW Destroyed? : False <br /> Consultant : LUSH GEOSCIENCE Phone : <br /> UAR # : _> 00/00/00 Prop65 # : _> 00/00/00 <br /> Street # : 1108 Street Name : TOKAY APN # : 033-210-14 <br /> ............................................................ Responsible Party .......................................................... <br /> Company Name : Phone : <br /> Contact Name : Phone : <br /> Address : <br /> City: State : ZIP : <br />