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3 <br /> PHSU JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DI Q.10m ;{ <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE gY REVIEWEDByDATE ENTERED BY . <br /> LL ADDITION:__ EDIT: <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # rQ''1� PRIORITY <br /> COUP # LOC CODE DISTPROG/ELEMENT CODE a3 Jr' <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE !q 7 FED EXEMPT Y / N PETROLEUM Y <br /> i <br /> SITE NAME L f1 <br /> 1/ DATE REPORTED <br /> i <br /> ADDRESS ��/ t/ DATE CONFIRMED <br /> CITY C c CA ZIP CATEGORY R / S 1 <br /> SITE STATUS <br /> CASE TYPE t�CONTRACT STATUS <br /> �. _ _ ... EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 <br /> RP SEARCH 5 i N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY <br /> -ASSESSMENT U DATE UNDERWAY COMPLETED IP13L? <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> PREMED IAL.ACTION t O DATE UNDERWAY 718 80 �COMPLETED1 <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY fX 0 COMPLETED <br /> ENFORCEMENT ACT TAKEN Y O 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 CCASE CLOSED R H DATE CLOSED) <br /> REMEDIAL_ ACTION TAKEN, CD [B ED ET FP GT IT RS HU NA VS <br /> I � i <br /> RESPONSIBLE.PARTY { <br /> • hCOMPANY NAME - PHONE <br /> j CONTACT NAME - PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> I <br /> i <br /> i <br /> EH 23 083(09/89)REVISED 01/90 _ <br /> 89-20(IV)01/90 PILNFR •1 <br />