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1 <br /> PHS/SAN JN COUNTY - ENVIRONMENTEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> DATE ENT <br /> COMP # ERED <br /> 7f <br /> ADDITION: EDIT:_ DELETE: / <br /> �ewJ l /� LOC CODE A�, DIST .3oRo IPROG/ELEMENT CODE a3,S0 <br /> ENTERED PILOT //3 /�!9 CONTAM MFR FILED Y / PRIORITY <br /> i <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS 0/ F SUBSTANCE ��?6 <br /> SITE CODE # l J?7l FED EXEMPT Y /(R) 1PETROLEUM �/ N <br /> DATE REPORTED /�[� /al DATE CONFIRMED j jQ / Q$ CATEGORY R� f S <br /> SITE NAMEJ <br /> ADDRESS 10 -7 � . �_ n� P47z <br /> e. <br /> T <br /> CITY . ----J—L K. MT i <br /> STATE CA ZIP �S—a O <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U G / D 1 2 4 5 6 7 8 f / <br /> RP SEARCH (D I / N / R DATE UNDERWAY �D /13 /80 COMPLETED <br /> PRELIM ASSESSMNT U / C DATE UNDERWAY ��/og j COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED / f <br /> REMEDIAL ACTIO U / C DATE UNDERWAY 8'�//� j f3 COMPLETED <br /> DATE EXCAVATION STARTED ,7 1 //Q /1 3 REMEDIAL ACTIONS TAKE <br /> POST REMEDIAL ACTION MONITORING Y / N / U / . 0 <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKENJ Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 J 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLOSED / f <br /> RESPONSIBLE PARTY <br /> COMPANY NAME 2 PHON 331 , <br /> CONTACT NAME ' - PHONE <br /> ADDRESS 0, <br /> CITY --[STATE OJZIP <br /> EH 23 083 (6/89) 89-20 ( ) 5/89 PILMFR <br />