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9 <br /> PHS.._ , JOAQUIN COUNTY - ENVIRONMENTAL HEALTH Dllj,.ION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> i <br /> UPDATE �Q l BY REVIEWED BYBY �I <br /> DATE ENTERED <br /> ADDITION• EDIT: <br /> ENTERED PILOT SJ-PNS CONTACT SWEEPS i<II ij <br /> PRIOR QTY <br /> romj <br /> COMP 0 LOC CODE DIST i PROD/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 34000 SOURCE OF FUNDS S J- / F SUBSTANCE II <br /> SITE CODE FED EXEMPT Y / N PETROLEUM Y /! N <br /> SITE NAME r Y DATE REPORTED <br /> ADDRESS J/ � f <br /> v" DATE CONFIRMED <br /> CITY yl a CA ZIP CATEGORY R /1 S <br /> SITE STATUS �) <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE i <br /> U S G D ol <br /> 2 3 4 5 7 8 9 it <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED t <br /> I <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED II <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 b DATE ACTION TAKEN C <br /> `i <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 TAKEN CD CB ED ET FP GT IT RS HU NA I�VS <br /> RESPONSIBLE PARTY <br /> i <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE II <br /> ADDRESS it <br /> CITY STATE TIP ! <br /> �j <br /> W23 083(04/89)REVISED 01/40 <br /> 89-20(IV)01/90 PILMFR i <br /> n <br />