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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAMMy,- MFR INPUT FORM <br /> UPDATE O / QO BY /Ci�"�v REVIEWED BY /'� DATE ENTERED f� -7 "l D BY <br /> rr ADDITION: EDIT: <br /> ENTERED PILOT SJ-PNS CONTACT SWEEPS # PRIORITY <br /> COMP # LOC CODE DIST PROG/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE 1 _ �I, FED EXEMPT Y / N PETROLEUM Y J N <br /> SITE NAME Q Q DATE REPORTED <br /> ADDRESS ) 3 C� v-��•�x� � DATE CONFIRMED <br /> CITY 1 J FCATZIP CATEGORY R / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY 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 5 6 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 CB ED ET FP GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME ^A PHONE <br /> CONTACT NAME 1 LL�, r/_^ J e S PHONE <br /> ADDRESS -7t-lo S� <br /> CITY --R STATE � ZIP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />