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PHA JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIS IN <br /> LOP PROGRAM - MFR INPUT FORM <br /> 179 <br /> UPDATE BY REVIEWED BY DATE ENTERED /O a 9` BY <br /> �i�/G/ < <br /> ADDITION: EDIT: <br /> ENTERED PILOT 3��� SJ/PHS CONTACT ! �� SWEEPS # ��!�� PRIORITY <br /> NOR SENT LOC CODE / DIST 32, ( PROGRAM/ELEMENT CODE 2 Z <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 1 /2()3 y � I � I -:a� 5 <br /> SITE CODE SOURCE OF FUNDS S / Q FED EXEMPT Y / V PETROLEUM / N <br /> SITE NAME GRLC �Ou�� bu5 Tce 1 v4-L DATE REPORTED 7 S'(� <br /> ADDRESS / S ��it17TC;C v,Ql DATE CONFIRMED <br /> CITY ��� �1 [CA I ZIP 9J140 2-- MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (p G D 1 2 © 4 5 7 8 9 <br /> RP SEARCH d I N R DATE UNDERWAY 9/56 /,:� ( COMPLETED / <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY /Q _ cf COMPLETED <br /> REMEDIAL INVESTIGATION U vxl 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 Y N ENFORCEMENT TYPE F 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 p? 3 ® U QA R G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS/ ED ET FP GT IT RS HU NA VS <br /> V Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME _ _ /L, PHONE <br /> CONTACT NAME PHONE <br /> lt�c.-ea <br /> ADDRESS ? O D�Q/ �� ,3/4 <br /> CITY L- STATE <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />