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PHS/'!� J JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D1VIS,r <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE O 5'2 I-9 3 BY ?w REVIEWED BY DATE ENTERED JUN p 2 1993 BY <br /> ADDITION: EDIT• <br /> ENTERED LOP105-11- 13 <br /> SJ/PHS CONTACT I L (C ES PRIORITY `C) <br /> � <br /> NOR SENT /_ LOC CODE <br /> 01 DIST ?J-Z ?, PROGRAM/ELEMENT CODET3S2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION \ <br /> CONTRACTOR 0 39000 SUBSTANCE #1 2 3 15 <br /> SITE CODE 2 y SOURCE OF FUNDS S / FED EXEMPT Y / PETROLEUM 0 / N <br /> SITE NAME <br /> n 'Tp4 ./fin 6 'f 1a DATE REPORTED <br /> ADDRESS 1 '� 2 � � DATE CONFIRMED <br /> CITY CA ZIP1 s zo S MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U 0 G D 1 2 (D 4 5 6 7 8 ds ^*z) --9-5 <br /> RP SEARCHI �fl �z-I N R DATE UNDERWAY l [3 COMPLETED <br /> __ t` 2 <br /> PRELIMINARY ASSESSKENT U C DATE UNDERWAY �,� � 9 3 COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY COMPLETED <br /> POST REM ACT PA41TORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN OY N ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 2 3 /' H) fs) ( R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME �'T ] PHONE z q (o S <br /> �a4 utn T� S,C,C IA 1 ��Z <br /> ,fONTACT NAME PHONE (209) -�6z -S L <br /> ADDRESS 2 Z N l l o W O <br /> CITY STATE c ZIP 1s z o <br /> • Additional RP's fisted on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(1V)01/90 PILMFA <br />