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'"-"PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALr'.rDIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE SE 90 BY REVIEWED BY DATE ENTERED Zgo <br /> BY <br /> 7 ADDITION: / EDIT: <br /> ENTERED PILOT 9- 9- o SJ-PHS CONTACT L yo SWEEPS # / C( I PRIORITY <br /> COMP # C O �r LOC CODEFilDIST 2�2 PROG/ELEMENT CODE 49 1 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 1 SOURCE OF FUNDS S / SUBSTANCE <br /> SITE CODE // L / FED EXEMPT Y / PETROLEUM l� / N <br /> SITE NAME DATE REPORTED 9//Z <br /> ADDRESS ( �y �r /,I / f DATE CONFIRMED r <br /> CITY I "1 l CA ZIP S 3 3 (c,/ CATEGORY OR / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U S (D D 1 2 3 4 7 8 9 <br /> RP SEARCH 0 I N R DATE UNDERWAY C), /c/ <br /> O c) COMPLETED <br /> PRELIMINARY ASSESSMENT oc DATE UNDERWAY /!77 -I ^ COMPLETED <br /> DU <br /> U ) <br /> REMEDIAL INVESTIGATION C DATE UNDERWAY 1/.2//97fCOMPLETED <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 ENFORCEMENT TYPE 1 2 3 4/ 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2• ( O O R OCG)G \\ 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME , i+ PHONE <br /> CONTACT NAME PHONE ` 7 <br /> ADDRESS <br /> J b(o <br /> CITY STATE l CL ZIP L 3 2- <br /> EH <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />