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PH /SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE �D 0 BY REVIEWED BY DATE ENTERED -� BY <br /> ADDITION: EDIT: <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # PRIORITY <br /> COMP # 6 0+et LOC CODE O/ DIST �3 PROG/ELEMENT CODE a 3# S' <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION V <br /> CONTRACTOR # 39000 SOURCE OF FUNDS f S ) / F SUBSTANCE <br /> W3 5- <br /> SITE CODE FED EXEMPT Y / 0 PETROLEUM Y / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS 3 E DATE CONFIRMED 11131/ 3 <br /> CITY CA ZIP CATEGORY f R / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U G D 1 O 3 4 5 7 8 4/ <br /> RP SEARCH I N R DATE UNDERWAY /d OD COMP%* Z 7/Gj� <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY 0 7 COMPLETED ` <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U 1 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 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD co ED ET FP GT IT RS HU NA VS <br /> 3 EONst PARTY LFII � — <br /> RESPONSIBLE PARTY <br /> RESPONSIBLE PARTY ! <br /> COMPANY NAMED� P _,,., L <br /> CONTACT NAME <br /> PHONE <br /> ADDRESS /1;2- �• <br /> o'er � <br /> CITY / <br /> s✓— STATE =!p <br />