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*/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTINVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE �'7D, C1 BY REVIEWED BY DATE ENTERED /� / S ��U BY <br /> ADDITION: EDIT:_ <br /> ENTERED PILOT t) SJ-PHS CONTACT SWEEPS # / Q PRIORITY <br /> COMP # CU.S TQ lOC CODE DIST 3�/_ T� PROG/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / SUBSTANCE / C), Z <br /> SITE CODE (i / FED EXEMPT Y / N PETROLEUM / N <br /> SITE NAME OO Z U O/ � �b DATE REPORTED <br /> ADDRESS IY,^ DATE CONFIRMED <br /> CITY yI�G� L7e <br /> CA ZIP %/.,, CATEGORY <br /> SITE STATUS I <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U S D 1 2 3 4' 5 7 8 9 <br /> RP SEARCH S 1 N R DATE UNDERWAY ,3_ �;C.) COMPLETED IT <br /> PRELIMINARY ASSESSMENT U (L.) DATE UNDERWAY "Z_Z7_$j' COMPLETED 3 _Z Ll - 8-7 <br /> REMEDIAL INVESTIGATION C DATE UNDERWAY 3_�l�_ -� 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 Y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2- II S C R ©W 0 <br /> EXCAVATION STARTED Z ZY_ ' CASE�CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB /ED J ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME 7X- PHONE D <br /> CONTACT NAME r,//�, PHONE <br /> 7o 7V5- 0130 <br /> ADDRESS o <br /> CITY ! O D C! STATE /�4 ZIP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />