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PHS/SAN JOAQUIl..,COUNTY - ENVIRONMENTAL HEJ,,o2H DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATEI -7 /?G BY 7DATE ENTERED / / IBY <br /> ADDITION: 1C EDIT: DELETE: <br /> ---[COMP # 2 LOC CODE o� DISTb JPROG/ELEMENT CODE 23 ? <br /> ENTERED PILOT -71,-20 /?? ICONTAM MFR FILED J(D / N PRIORITY <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS � / F SUBSTANCE /�7 O 31L <br /> SITE CODE # ;?-335—/ FED EXEMPT Y / N� PETROLEUM YO/ N <br /> DATE REPORTED JQ i j6 /$� DATE CONFIRMED f� /J(o / �� CATEGORY ® / S <br /> SITE NAME MOd 2 +o <br /> ADDRESS c�, O ZS . <br /> CITY y')/�, ,,�,�C STATE CA ZIP GIS3 3 b <br /> ' �► ` SITE STATUS <br /> CASE TYPE CONTRACT STATUS EMERGENCY RESPONSE <br /> U JQ / G / D 1 2 O 4 5 6 7 8 <br /> RP SEARCH �D/ I / N / R DATE UNDERWAY Jam / COMPLETED 7 <br /> PRELIM ASSESSMNT U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL INVEST U / C DATE UNDERWAY / / COMPLETED <br /> REMEDIAL ACTION U / C DATE UNDERWAY / / COMPLETED <br /> DATE EXCAVATION STARTED J / REMEDIAL ACTIONSOAKEN <br /> POST REMEDIAL ACTION MONITORING Y / N /POST REMED ACT MONITOR DATE UNDERWAY / / EDENFORCE ACT TAKEN Y / N DATE UNDERWAY / / TED <br /> ENFORCEMENT ACTION TYPE 1 / 2 / 3 / 4 / 5 / 6 <br /> CASE CLOSED Y / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> COMPANY NAME a PHONE <br /> z PHONE <br /> CONTACT NAME �l��d• 0 !S SS�o -4�3 <br /> [ADDRESS <br /> T STATE CA Z I P g4l 3 C <br /> C._TY SGty1Er-!LvK,C <br /> EH 23 083 (6/89) 89-20 ( 5/89 PILMFR �" <br />