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f <br /> P ., An JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE 115 GA BY REVIEWED BY DATE ENTERED H / By <br /> [V ADDITION: EDIT:-9-1 L l� <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # =PRIORITY <br /> COMP # LOC CODE pIS7 PROD/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE ' 7 S((P! 2,3 FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME / / DATE REPORTED <br /> ADDRESS 6 fp �Q DATE CONFIRMED <br /> CITY CA ZIP CATEGORY R / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U l C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING T H U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N I TENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION t 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 CB ED ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME or <br /> A ��l-/� PHONE 419—) ?Lc;—f s-60 <br /> CONTACT NAME f�Q A urLL✓Y�L.� PHONE <br /> f V ,V•`JIYIG•Y•rrDGl• Is OVA- 9 S <br /> ADDRESS O OD <br /> CITY <br /> �. ESTATE zIP gC1�S3'O$D <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />