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AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH ILOSION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE 5 / U BY I REVIEWED BY <br /> O - DATE ENTERED ry BY <br /> oC ff\ <br /> ADDITION: V EDIT:__ <br /> ENTERED PILOT 67' g/ U SJ-PHS CONTACT S n,�� � ) SWEEPS # <br /> �-ATJN�/ Z23 PRIORITY <br /> COMP # .0WA r / LOC CODE (j�p DIST <br /> �P �2' PROG/ELEMENT CODE �?J so <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS G / F SUBSTANCE <br /> SITE CODE / 22:S FED EXEMPT Y tl v v <br /> / PETROLEUM (Y' / N <br /> SITE NAME s� S'TY1 0 7.j <br /> _ I <br /> � DATE REPORTEDV_ <br /> .2- 2) -qo <br /> ADDRESS Z7 <br /> DATE CONFIRMED s-�_ �' <br /> CITY LTr� i CA 21P <br /> c7v VC/f Gl.{'7 ., CATEGORY � / g <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS <br /> EMERGENCY RESPONSE <br /> U rG D 2 3 4 5 7 8 9 <br /> RP SEARCH C I N R DATE UNDERWAY <br /> �" / v �v COMPLETED ✓ �L �� <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY (� G <br /> 3 �L / Q COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY <br /> COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY <br /> COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY <br /> ��..�� COMPLETED <br /> ENFORCEMENT ACT TAKEN Y / N ENFORCEMENT TYPE 1 2 3 4 5 6 <br /> ALN DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 C2) 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 <br /> RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME ' I54 , OR, Kn�, <br /> V` 1r+�.U... PHONE <br /> CONTACT NAME PHONE ! -8� -- <br /> ADDRESS WI(_l..aj J ST S qa <br /> CITY , STATE i29- ZIP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />