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Brownfield: N - Site is not part of Brownfield Site Management Requirements: NA - No Action <br />Current Land Use: Lii Agricultural IA Commercial El Industrial Public Use El Residential <br />SAN JOAQUIN COUNTY — <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgiehd <br />SITE REMEDIATION INFORMATION <br />Site ID: SD 000 2-02.42,-, Case ID: RO 't °002,3C-.2.-1 Existing <br />Facility ID: FA 00W c1/,‘ <br />SITE INFORMATION <br />Business Name: 5-1966-friteiel- Phone: <br />Street #: 33/0 Dir: E Street Name: /1/16(t/ Type: 5- <br />City: STD(1<41$4) State: aff Zip: f'5" zo 8 <br />County: 39 - San Joaquin County APN: / 5-7- t /c.) <br />CASE INFORMATION <br />Program Element: 3,9 50 / Assigned Name: MAINSITE <br />Regulatory Oversight Program: 0 T Hi- <br />Minding for Regulatory Oversight: <br />Funding for Cleanup: f P <br />File Location: L - Local Agency <br />RISK MANAGEMENT <br />Case Type: <br />A - Drinking Water Supply Aquifer Affected F - Surface Water S - Soil Only <br />W - Drinking Water Well Affected U - Undetermined Affected <br />Beneficial Use: MUN - Municipal and Domestic Supply <br />Vulnerability Basis: 0 itn4 <br />MTBE Threat Classification: y MTBE Cleanup Classification: NA <br />NUM ber of Impacted Wells: 12 Well Impact Description: None <br />CASE MANAGEMENT <br />Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br />Completed By: Date: <br />Entered By: Date: <br />E1-1-29- <br />09/ 1 8 /200 7