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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE _ a BY REVIEWED BY DATE ENTERED !_ Z-7 l BY <br /> ADDITION: EDIT: Y 7 <br /> --T- <br /> ENTERED PILOT _Z$_ 9D SJ-PHS CONTACT _L,�C. SWEEPS # 2 I PRIORITY <br /> COMP # u 1 LOC CODE O DIST 2 PROG/ELEMENT CODE 2 3 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS SO / F SUBSTANCE Z� <br /> SITE CODE FED EXEMPT Y / O PETROLEUM YO / N <br /> SITE NAME Si 2p DATE REPORTED 8-IO_aQ, <br /> ADDRESS (y3NToo �'i-,) DATE CONFIRMED <br /> CITYCA ZIP S to L3 CJ vv <br /> S'�DGIL�7J �f CATEGORY o / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U G D 1 3 4 5 7 8 9 <br /> RP SEARCH 0 I N R DATE UNDERWAY0-25'90 COMPLETED <br /> � <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY ��- COMPLETED <br /> REMEDIAL INVESTIGATION U C 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 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 CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKENT CD CB ED ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME S-r�f PHONE �1 64_85.co <br /> CONTACT NAME J PHONE ( <br /> ADDRESS on. <br /> CITY - ane MIT STATE ZIP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />