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SAN JOAQUIN' LOCAL HEALTH DISTR3'C�T <br /> PILOT. PROGRAM MFR INPUT FORM <br /> UPDATE /?,0DATE ENTERED / 2,-/ ( IBY I —ff, <br /> ADDITION: EDIT: DELETE: <br /> COMP ,$ LOC CODE DIST IPROG/ELEMENT CODE <br /> ENTERED PILOT / / CONTAM MFR FILED Y / N PRIORITY <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE_ ,$ o2 3 3 3 --/ FED EXEMPT Y. / .N PETROLEUM .Y / N <br /> DATE .REPORTED.. /._ /: DATE:CC .IRMED / / : CA;TEGORY . . R ' / S <br /> SITE NAME - t <br /> ADDRESS 0 ' V - � <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 / N / R DATE UNDERWAY / / COMPLETED /07 /31 <br /> PRELIM ASSESSMNT �U / C DATE UNDERWAY 9 /Ll / �/ COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION U / C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTED gj /08 /6l REMEDIAL ACTIONS TAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N / U / C <br /> POST REMED ACT MONITOR DATE UNDERWAY / / COMPLETED <br /> ENFORCE ACT TAKEN Y / N DATE UNDERWAY / / COMPLETED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y77/ R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> CONTACT NAME PHONE <br /> COMPANY NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> 89-020(IV) 5/89 PILMFR <br />