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-� r' <br /> PHSAj,,JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI,4*,Oi <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY M� VIEWED BY -/� DATE ENTERED /p� 3 BY <br /> ADDITION: ` EDIT: <br /> ENTERED PILOT SJ/PHS CONTACT SHEEPS # PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 3900D SUBSTANCE #1 <br /> SITE CODE 1 U( 7 SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / H <br /> SITE NAME ��GL.47 DATE REPORTED <br /> ADDRESS sq 5 �� 5afnjo DATE CONFIRMED <br /> CITY c5`vcv-� CA ZIPTq5zvgT�LTIPLE RPOa / N <br /> �� SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> f <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U vf- DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENTTYPE 1 2 3 S 5 6 DATE ACTION TAKEN <br /> LOFT 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 CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME' GL�'[G �/, PHONE <br /> CONTACT NAME �� PHONE DD Z <br /> ADDRESS I A l a Y rm'ep <br /> C[TYJ-0 5 STATE ZIP J 9 5 I 2-0 <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISEO 11/90 89-20(IV)01/90 PILMFA <br />