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PHS/SAN %QUIN COUNTY - ENVIRONM&,,4..L HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATEF /a / BY DATE ENTERED By <br /> ADDITION: IT;__)(_ DELETE: <br /> COMP e LOC CODE19? DIST �W fMOG/ELEMENT CODE <br /> ENTERED PILOT / /3 / 8't1 CONTAM MFR FILED Y / N PRIORITY <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 39000 SOURCEF FUNDS S J F SUBSTANCE <br /> SITE CODE <br /> FED EXEMPT FY /ON PETROLEUM Y / N <br /> DATE REPORTED DATE lM vrf <br /> R14ED JCATEGORYT-nR / S <br /> SITE NAME <br /> ADDRESS O I <br /> CITY � STATE CA ZIP s <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 / N / R DATE UNDERWAY 57 /a /S9 COMPLETED <br /> PRELIM ASSESSMNT U / C DATE UNDERWAY S /a / S 9 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 <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED J / <br /> ENFORCE ACT TAKEN Y / N DATE UNDERWAY / / COMPLETED J / <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLC J J <br /> RESPONSIBLE PARTY Z <br /> COMPANY NAME 1C ,.L,df HONEje <br /> CONT*cT NAME PHONE 3 "d Z2D <br /> ADDRESS •`� <br /> CITY STATE C,4ZIP 9�s0z Z� <br /> EH-23 083 (6/89) 89-20—.V) 5/89 PILMFR `- <br />