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PHS/SAN JOAQi_.. .1 COUNTY - ENVIRONMENTAL h LTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORk <br /> UPDATE / j f BY ` DATE ETERED Q / Z/rQ IBY <br /> ADDITION: EDIT: DELETE: I! <br /> F <br /> COMP # ,�t�JAIJ�K8j I III LOC CODE C�G� DIST ��� PROG/ELEMENT CODEFi57 <br /> ENTERED PILOT /,o11 ICONTAM MFR FILEDY, / N PRIORITY M <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION N <br /> CONTRACTOR # 39000 SOURCE OF FUNDS/ F SUBSTANCE 'S -3 <br /> SITE CODE # 2- FED EXEMPT Y PETROLEUM �Y % N <br /> E <br /> DATE REPORTED �1/0? /I1DATE CONFIRMED / / CATEGORY R / S <br /> SITE NAME k <br /> ADDRESS Bq(,O w R't-►.��-cT C51[01V E. I <br /> CITY STATE CA ZIP !� l <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U / / G / D 1 2 3 4 56 7 8 <br /> RP SEARCH( S / I / N / R DATE UNDERWAY r1/�2_/ COMPLETED 12 <br /> PRELIM ASSESSMNT U)/ C DATE UNDERWAY k / f0 COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION U / C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTED / / REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C I� <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> I <br /> ENFORCE ACT TAKENJ Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPET 1 / 2 / 3 / 4 / 5 / 61 I <br /> CASE CLOSED Y / R / H DATE CASE CLOSED <br /> I <br /> RESPONSIBLE PARTY <br /> COMPANY NAMEPHONE .11 f <br /> 7 - .11 Zo <br /> CONTACT NAME PHONE <br /> ADDRESS ✓ �33 <br /> CITY <br /> 771STATE IC ZIP i� <br /> EH 23 083 (6/89) 89-20(IV) 5/89 PILMFR <br /> I <br />