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r <br /> PHE,_,1 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV,.,N <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE �Q,5,�2 BY REVIEWED BY DATE ENTERED 1(,12 BY <br /> r" <br /> ADDITION: 'EDIT: <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS # PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 139000 SUBSTANCE 01 <br /> SITE CODE 3 9 TRCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME Che.Jror) !�+itnl �Qr� DATE REPORTED <br /> ADDRESS 135 ✓�` � ,� DATE CONFIRMED <br /> CITY j�G' f &-` CA ZI �5Z�7� MULTIPLE RP's Y / N <br /> P <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 1 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U pf, DATE UNDERWAY COMPLETED <br /> REMEDIAL ACT103 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 7 1 2 3 4 5 6 DATE ACTIOd 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 TAKEN CD CS ED ET FP GT IT RS HU NA VS <br /> ✓Priwry / Additional RESPONSIBLE PARTY <br /> COMPANY NAME n he Jr,l/1 PHONE <br /> CC"TACT '!At E �rc H- 1 ! 1 v►' -k p— PHO.,E 5�V g"1 U i ✓ <br /> ADDRESS gq I(z) CaWL(vj-o WLD� p j3z))L 5cc) cj <br /> CITY c.� Pe,, <br /> ,,n o� STATE �- ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE I <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />