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P AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM t <br /> [UPDATE BY REVIEWED BY J <br /> DATE ENTERED BY. <br /> ADDITION: EDIT: <br /> ENTERED PILOT SJ-PHS CONTACT SWEEPS # PRIORITY <br /> COMP # LOC CODE DIST PROG/ELEMENT CODE. d <br /> SITE-SPECIFIC QUARTERLY REPORT INFORMATION �1 <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME L DATE REPORTED <br /> ADDRESS �' DATE CONFIRMED <br /> CITY CA ZIP <br /> CATEGORY R / 5 <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> r <br /> U S G D 1 2 3 4 5 7 81 9 <br /> RP SEARCHT S I N R . DATE UNDERWAY x COMPLETED - <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> r. <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 1 2 3 4 5 b 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 TAKEN CD co ED ET FP GT IT RS HU NA VS <br /> -'RESPONSIBLE PARTY <br /> COMPANY NAMEL L PHONE' <br /> `CONTACT NAME I/1A P: PHONE 253— <br /> L5 {CJ/_ <br /> J <br /> ADDRESS R ; 2 pv,-y�CJ L� <br /> CITYT ,�� STATE 21P I <br /> f <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />