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PHS/SAN JUIN COUNTY - ENVIRONMENTA HEALTH DIVISION <br /> PILOT PROGRAM - MFR INPUT FORM <br /> UPDATE f IN /C,� IBY ��tQo DATE ENTERED <br /> d <br /> ADDITION: EDIT:- DELETE: <br /> COMP # LOC CODEJ DIST PROG/ELEMENT CO <br /> ,M <br /> ENTERED PILOT / / CONTAM MFR FILED Y / N PRIORITY <br /> F <br /> - I <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SOURCE OF FUNDS S / F SUBSTANCE <br /> SITE CODE # FED EXEMPT FY <br /> / N PETROLEUM Y / N <br /> DATE REPORTED JDATE CONFIRMED / / CATEGORYJ R / S <br /> SITE NAME ' <br /> ADDRESS 1 0 4 O L+ /20 <br /> CITY STATE CA ZIP 9�3 �b <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 <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 / / 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 Y / R / H DATE CASE CLOSED <br /> RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE' x <br /> ADDRESS <br /> ICITY STATE ZIP <br /> EH 23 083 (6/89) 89--20(IV) 5/89 PILMFR <br />