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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION 4 <br /> PILOT PROGRAM - MFR INPUT FORM r <br /> i <br /> UPDATE $ 2Z/ yU BY REVIEWED BY DATE ENTERED BY <br /> I <br /> ADDITION:_ EDIT:_ <br /> n Oyu �. Sc,�rJ�rn�l t 13fl <br /> ENTERED PILOT $ SJ-PHS CONTACT SWEEPS # PRIORITY ` <br /> COMP # uIKS 5.5 JLOC CODE O I DIST q„) PROG/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / SUBSTANCE $�6(o t / <br /> SITE CODE I I dU FED EXEMPT Y / PETROLEUM .� / N <br /> SITE NAME ula o <br /> N^2/f DATE REPORTED ZG y <br /> ADDRESS /y / ` . 1 V iJ Lyu DATE CONFIRMED vv <br /> CITY (JJ /''{ CA 21P CfJ�ZO CATEGORY G R / 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 I N R DATE UNDERWAY ZZ COMPLETED <br /> PRELIMINARY ASSESSMENT U -C DATE UNDERWAY 15 �� 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 - S 6 DATE ACTION TAKEN <br /> �;� <br /> LUFT CONSIDERATION 1 > :*';" l/ G - R W G 0 <br /> �, V <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 NAME PHONE f / � -6 A <br /> CONTACT NAME y I71•/F'L w � PHONE J h A V <br /> ADDRESS <br /> CITY ✓{F, �(;S/V�'�C-/���'1 7 STATE <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />