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PHSl,,.,JOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIVI , J <br /> LOP PROGRAM - MFR INPUT FORM F'A <br /> UPDATE 2 q3 BY `�n� REVIEWED BY DATE ENTERED MAY 0 3 l99 BY A)w I <br /> O� I ADDITION: EDIT:—L--' <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS 0 PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 1 SUBSTANCE #1 <br /> SITE CODE I ' SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLELM Y ! N <br /> SITE NAME DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY V CA ZIP Gjs 3 rL KULTIPLE RP's Y ! H <br /> SITE STATUS l J <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 4/d-3 q3 I <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U /C DATE UNDERWAY COMPLETED �} 2 <br /> REMEDIAL INVESTIGATION ��,G DATE UNDERWAY A19 <br /> CCMPLETED - 1 -3 <br /> REMEDIAL ACT10?J U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT =JITORING Y d U C DATE UNDERWAY COIAPLETED <br /> ENFORCEMENT ACT TAKEN Y H ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S /`C\ A R W G 0 j <br /> EXCAVATION STARTED CASE CLOSED /i Y ) R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />