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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE gq/ /a� BY G' 144 REVIEWED BY DATE ENTERED / / BY J <br /> r 1 ADDITION- EDIT: <br /> COMP # M O O L O6 LOC CODE 197"IST -u I <br /> PROG/ELEMENT CODE �,? y p <br /> ��TAMENTERED PILOT $ / C/ o MFR FILED J(D / N PRIORITY I <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 TSOURCE OF FUNDSla / F SUBSTANCE ��jp(d(plq <br /> SITE CODE # FED EXEMPT Y /0 PETROLEUMY N <br /> DATE REPORTED $D/A,)(j/Z 3 DATE CONFIRMED $:,8' /A JG/ r) CATEGORY R / S <br /> S I TE NAME <br /> ADDRESS <br /> CITY STATE CA Z IF' - �js 3 Cb L/ <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U / S / G�/r�D 1 2 3 4 S 7 8 9 <br /> RR SEARCH I / N / R DATE UNDERWAY j /2 / COMPLET <br /> PRELIM ASSESSMNT OU / C DATE UNDERWAY S,6ptl COMPLETED / ZQ/$ <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION -U\/ C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTED / / REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKEN Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> COMPANY NAME ?// PHONE p3� 75b <br /> CONTACT NAME RHONE D <br /> ADDRESS <br /> CITY STATE ZIP 5 3 I <br /> EH 23 OSZ(19/89) 89-c2'0 ( JV)cl/89 PILMFR <br />