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PHShd JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D1VI*1 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE !a �� / IBY � REVIEWED BY DATE ENTERED /� fj� j/ BY <br /> ADDITION: EDIT• &I-1- <br /> ENTERED <br /> ENIERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST JPROGRAM/ELEMENT CODE a � <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE CODE 2 �J c'] SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME / .� DATE REPORTED <br /> ADDRESS �/(��40 <br /> 7 <br /> DATE CONFIRMED <br /> FFITY <br /> I T CA 21P MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 O T 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATIONU C DATE UNDERWAY aC� ( COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERLAY COMPLETED <br /> ENFORCEMENT ACT TAKENY N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R L G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU ILA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PH0NE <br /> ADDRESS <br /> C17Y STATE 21P <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EN 23 083(09/89)REVISED 31/90 89-20(IV)01/90 PILMFA <br />