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JOAQUIN LOCAL HEALTH DI.,w.2ICT <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE / �Z / 79 BY J---JL DATE ENTERED / / TBY <br /> ADDITION: X EDIT: DELETE: <br /> COMP # s�}J�T�� LOC CODE (�� DIST �a3 PROG/ELEMENT CODEJ cZ3. 50 <br /> ENTERED PILOT / /Z / ?7 CONTAM MFR FILEDJO / N PRIORITY <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS (�) / F SUBSTANCE �a g <br /> SITE CODE # fl 9 3 FED EXEMPT Y / �N PETROLEUM / N <br /> DATE REPORTED 5 /,;L DATE CONFIRMED � /a / �� CATEGORY OR / S <br /> SITE NAME ! ` I O ` <br /> ADDRESS , 0 3 3 C1 <br /> CITY COt.k STATE CA ZIP q5 0?0 5- <br /> SITE <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U /(S / G / D 1 2 O 4 5 6 7 / <br /> RP SEARCH OS / I / N / R DATE UNDERWAY / /Z / M LETE <br /> PRELIM ASSESSMNT ® / C DATE UNDERWAY / Jr / g COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION U / C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTEDT / / REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKEN7Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H 7 <br /> DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> CONTACT NAME D. PHONE 13 <br /> COMPANY NAME _r1lZ A �`'�N� `ropek�. d �- Fel <br /> PHONE a(� S-ys- <br /> roA.d <br /> ADDRESS ON E Soy,,-,+o, F e, <br /> 5a0 a t +r z-(- <br /> CITY -6S4t\) 2 ? �� STATE l&7ZIP <br /> 89-020 (IV) 5/89 PILMFR <br />