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SAN JOAQUIN- LOCAL.HEALTH DISTRICT <br /> 'PILOT PROGRAM -* MFR INPUT FORM <br /> UPDATE . F9 IBY DATE ENTERED <'-/ / �JBY <br /> ADDITION: )( EDIT: DELETE: <br /> COMP1 !Po LZ.C.oZa LOC CODE I DIST 1 ,3a7, JPROG/ELEMENT CODE o23• SO <br /> ENTERED PILOT /0 / 1.3 ICONTAM MFR FILED OY f N PRIORITY <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS OS / F SUBSTANCE 1 0 3 r <br /> SITE CODE 1 -7 8 FED EXEMPTY /� PETROLEUM Y / N <br /> DATE .REPORTED. DATE,.'CONFIRMED 06 IA-1 /yff CATEGORY / S <br /> SITE NAME C 2i `�'meAA- ' <br /> ADDRESS aa, E <br /> CITY � � STATE CA lZipTi7bolo(9- <br /> STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U / (q/ G / D 1 23O 4 5 6 7 8 <br /> RP SEARCH OS / I / N / R DATE UNDERWAY /a1 /S9 COMPLETED <br /> PRELIM ASSESSMNT 0/ C DATE UNDERWAY y /a,7 / �D COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> R04EDIAL ACTION OU / C DATE UNDERWAY /ac/ / COMPLETED <br /> DATE EXCAVATION STARTED d /d g /��,y REMEDIAL ACTIONS TAKEN I f D <br /> POST REMEDIAL ACTION MONITORING Y / N f U / C <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKEN Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> CONTACT NAME ,� -P,6 1_ V, PHONE 0,1 9qq_802 Z <br /> COMPANY NAMECi�� PHON qqV_ Sitio <br /> ADDRESS �4oZ 5 �J Ld24 <br /> CITY Gam, STATE z <br /> 89-020 (IV) 5/89 PILMFR <br />