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F.,./SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIION <br />LOP PROGRAM - MFR INPUT FORM <br />UPDATE 2_//, <br />itu /q 1 <br />BY WVI REVIEWED BY DATE ENTERED <br />.7' <br />--(?_„_e4,2_ BY <br />ADDITION: EDIT: ( <br />ENTERED LOP SJ/PHS CONTACT 44\ S <br />PRIORITY <br />NOR SENT LOC CODE 01ST PROGRAM/ELEMENT CODE <br />qc2 L <br />SITE SPECIFIC QUARTERLY REPORT INFORMATION <br />CONTRACTOR # 39000 SUBSTANCE #1 02 #3 #4 05 <br />SITE CODE <br />I BCA <br />SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br />SITE NAME DORMl GavAVIev* A>v,i,oe_,-4.- DATE REPORTED <br />ADDRESS '9605 thovottIn <br />1/ 4 <br />' • I DATE CONFIRMED <br />CITY <br />‘1MAbil <br />CA ZIP (1 ,%6 2 MULTIPLE RP's Y / N <br />SITE STATUS <br />CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br />USGD 1 2 3 4 5 7 8 9 — [4-9 2_ <br />RP SEARCH <br />5)I N R DATE UNDERWAY COMPLETED <br />/4 <br />0—/E-9.2 <br />PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br />REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br />REMEDIAL ACTION U I c DATE UNDERWAY COMPLETED <br />POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br />ENFORCEMENT ACT TAKEN r N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br />LUFT CONSIDERATION 1 2 3 H S c A R W G 0 <br />EXCAVATION STARTED CASE CLOSED r R H DATE CLOSED <br />REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br />/ Additional RESPONSIBLE PARTY __Primary <br />COMPANY NAME PHONE <br />CONTACT NAME PHONE <br />ADDRESS <br />CITY STATE ZIP I <br />I <br />Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br />EH 23 083(09/89)REVISED 11/90 <br /> <br />89-20(IV)01/90 PILMFA