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SAN 'JOAQUIN' LOCAL",HEALTH DISTRICT i <br /> PILOT. PROGRAM' MFR 'INPUT FORM <br /> UPDATE BY / <br /> DATE ENTERED Y/ ( / BY ;f <br /> 'l / / �f <br /> ADDITION: EDIT: DELETE: ' <br /> ,, I <br /> COMP y LOC CODEJ DIST PROG/ELEMENT CODE <br /> ENTERED PILOT ,/ J CONTAM MFR FILED Y / N PRIORITY f <br /> _ 7 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR , 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> f <br /> SITE CODE FED EXEMPT Y / N PETROLEUM Y / N ! <br /> :k <br /> DATE .REPORTED.. % /: DA'C'E,:CONFIM4ED : CATEGORY , R / S <br /> SITE NAME <br /> ADDRESS 1GP.1.t� vC SIL. <br /> CITY ��� " STATE CA ZIP <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U / S / G / D 1 2 3 4 5 6 7 8 <br /> RP SEARCH S / I:' J N / R DATE UNDERWAY / / COMPLETED / <br /> PRELIM ASSESSMNT; D/ C DATE UNDERWAY / J COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION / C " DATE UNDERWAY I COMPLETED ` <br /> DATE EXCAVATION STARTED: D REMEDIAL ACTIONS TAKEN G' D <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C' <br /> POST REMED ACT 1MONITOR DATE UNDERWAY / / COMPLETED : P <br /> ENFORCE ACT TAKEN Y / N DATE UNDERWAY / / COMPLETED <br /> F <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y i� / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> CONTACT NAME PHONE <br /> F <br /> COMPANY NAME PHONE <br /> ADDRESS <br /> CITY <br /> ISTATF ZIP <br /> 89-020(IV) 5/89 PILMFR_- <br /> r <br />