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y� .��r <br /> h!!/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE f� l0 BY REVIEWED BY <br /> G BY <br /> DDITION:1�1 EDIT: <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # <br /> PRIORITY <br /> COMP # l7 v l e /- ' r LOC CODE O I DIST l�a "2, PROG/ELEMENT CODE f?. 5U <br /> l 1O SITE SPECIFIC QUARTERLY REPORT INFORMATION 4`J <br /> CONTRACTOR # 39000 SOURCE OF FUNDS / F SUBSTANCE 2/ <br /> SITE CODE JO C FED EXEMPT Y / J 1PEETROLEUM / N <br /> SITE NAME A a nn DATE REPORTED <br /> ADDRESS l DATE CONFIRMED <br /> CITY r /� I CA Zlp CATEGORY / S <br /> �1vJ'�w SITE STATUS l <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U G D 1 2 O 4 5 7 8 9 <br /> RP SEARCH I N R DATE UNDERWAY Q4 COMPLETED �J G� <br /> PRELIMINARY ASSESSMENT UO C DATE UNDERWAY ���$ Iv / COMPLETED c� / <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION I C DATE UNDERWAY ( 7 / COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY 1 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 �;--7(8.7 CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY - <br /> COMPANY NAME <br /> CY /f e� PHONE <br /> CONTACT NAME f?r,IJc /'O.,LSC/�• PHONE <br /> ADDRESS -PQ ' c1 (6�s//O �3Cic, <br /> CITY C lj� , STATE 2IP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />