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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE 27 rI� BY REVIEWED BY DATE ENTERED / U BY �) J <br /> ADDITION: EDIT: <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # 3 PRIORITY <br /> COMP # LOC CODE DIST PROG/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS <br /> DATE CONFIRMED <br /> CITYCA ZIP CATEGORY R J 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 1 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 1 C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE T <br /> 1 2 3 4 \\5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G l 0 <br /> EXCAVATION STARTED CASE CLOSED Y ILIBIR • H t /1l DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ( ET A GT -IT RS HU NA VS <br /> V � <br /> RESPONSIBLE PARTY <br /> COMPANY NAME <br /> TD e}- ��-�,� PHONE <br /> CONTACT NAME It /I^_ PHONE a p D y?;7(o �I <br /> ADDRESS �?:•�Q SIM T"1� C.�'t�GtS�u�-Z�/L► ��� O d <br /> CITY 7 �,J, STATE ZIP <br /> EH 23 083(09189)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />