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SAN JOAQUIN' LOCAL'.HEAL•TH D.IS.'I'RTCT <br /> 'PILOT. PROGRAM, -' MFR INPUT FORM <br /> UPDATE 8 / /0 /e9 BY JDATE ENTERED /• BY <br /> ADDITION: EDIT: DELETE: <br /> COMP # C1L LOC CODE Gig IDIST3� 1PROG/ELEMENT CODE o23 , S-C) <br /> ENTERED PILOT /�/ l <br /> CONTAM MFR FILEDI(5) / N PRIORITY <br /> Pr7SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS 0 / F SUBSTANCE <br /> SITE CODE # �! FED EXEMPT Y. JON ]PETROLEUM J(D/ N <br /> ATE .REPORTED. DATE CONFSRMED :� / / C1{TEGORY :� / S <br /> SITE NAME <br /> ADDRESS J.7 �3 OO � �. . <br /> CITY al e Ll � STATE CA ZIP <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U /(o / G / D 1 2 3 4 5 6 7 8 / J <br /> RP SEARCH �S / I / N / R DATE UNDERWAY 5 / /� COMPLETED <br /> PRELIM ASSESSMNT V/ C DATE UNDERWAY' Z :" COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION IL C DATE UNDERWAY COMPLETED / J <br /> DATE EXCAVATION STARTED REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORIKGJ Y / N / U / C <br /> ST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKENJ Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> CONTACT NAME PHON �oq 33 D <br /> ANY NAME CLL � S PHONE _0 D <br /> DRESS 3D0 <br /> CITYSTATE ZIP <br /> 89-020(IV)5/89 PILMFR <br />