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1 ry <br /> PHS)ft JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE ! REVIEWED BY <br /> DATE ENTERED BY <br /> ADDITION• EDIT:2— <br /> ENTER <br /> ENTERED PILOT SJ-AHS CONTACT <br /> F — SWEEPS N PRIORITY <br /> COMP LOC CODE DIST <br /> PROC/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 9 39000 OURCE OF FUNDSESEES;UBSTANCE <br /> SITE CODE <br /> c93-?q T Y <br /> �j / N PETROLEUM Y / N <br /> SITE NAME <br /> 1 --t pf DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY CA ZIP CATEGORY R / S <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U S G D 1 2 3 5 7 8 9 <br /> RP SEARCH S 1 H R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY <br /> cem, few-- <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY OMPLETED <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 ENFORCEMEN _ --—1 2 3 4 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 O 3 1 c 1 O /^� W G 0 <br /> EXCAVATION STARTED �rt'd ! ✓ CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN ` CD CB ED ET GT IT RS HU NA VS <br /> RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> EH 23 083(09/89)REVISED 01/90 <br /> 89-20(IV)01/90 PILMFR <br />