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-SAN. 30AQUIN...LOCAL ,HEALTH DISTRICT <br /> PILOT PROGRAM - MFR ,INPUT FORM <br /> UPDATE /�� /g9 <br /> BY f <br /> DATE ENTERED BY <br /> ADDITION: EDIT: DELETE: <br /> COMP , �i,.0.n� �7 LOC CODE DIST 37EPROGELEMENT CODE �3, � <br /> ENTERED PILOT 3 / f� / d 9 CONTAM MFR FILED PRIORITY <br /> K" SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR f 39000 SOURCE OF FUNDS S /pF SUBSTANCE Ja_--a 302 <br /> SITE CODE 1 FED EXEMPT I Y / © PETROLEUM YQ / N <br /> PATE. REPORTED.. .. / /'. DATE .CONFIRMED •: / / CATEGORY <br /> SITE NAME <br /> FrZ�to_ Iro v1 e.r <br /> ADDRESS 000 E j4W4 2_0 <br /> CITY �` Q STATE CA ZIP 9 _j 6 <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> .F <br /> U /o/ G / D 1 2 3O 4 5 6 7 8 <br /> RP SEARCH O/ I / N / R DATE UNDERWAY /p/ /X(y COMPLETED '5- <br /> C <br /> PRELIM =ASSESSmNT �/ C DATE UNDERWAY 1 /�� / gS COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION I U / C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTED / 13 /$9 REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C <br /> POST REMED ACT MONITOR TDATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKEN JY / N DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 4 / 5 / 6 <br /> CASE CLOSED Y / R / H E SED <br /> RESPON L ARTY <br /> CONTACT NAME -DLL,) �-�- G`V s PHONE '_ <br /> COMPANY NAME PHONE <br /> Q- c��raS � her <br /> ADDRESS 0, " �q <br /> CITY ATE }l� ZIP !Jr• iL-LsT <br /> F. <br /> i <br /> 89-020 (IV) 5/84 PILMF g <br />