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SAN JOAQUIN COUNTY 0 <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.org/ehd <br />SITE REMEDIATION INFORMATION <br />Site ID: <br />SD <br />Case ID: <br />RO <br />Existing <br />FA <br />Dir: <br />S Street Name: S,1-0 5 �� <br />Type: <br />RP - Responsible Party Funds <br />Facility ID: <br />N poi <br />SITE INFORMATION <br />Business Name:C441-1 <br />D S SUNG Y <br />Phone: <br />Z <br />Street #: <br />2 <br />Dir: <br />S Street Name: S,1-0 5 �� <br />Type: <br />RP - Responsible Party Funds <br />City: <br />N poi <br />State: <br />CA. <br />Zip: <br />95 3 6 <br />County: <br />39 - San Joaquin County <br />APN: I <br />2 5—�- Z 7g - 0 S <br />District: <br />CASE INFORMATION <br />Program Element: <br />2961 - Cal EPA Voluntary Cleanup Program <br />Assigned Name: <br />MUN - Municipal and Domestic Supply <br />Regulatory Oversight Program: <br />CALEPA- Cal EPA Voluntary Cleanup Program <br />Funding for Regulatory Oversight: <br />RP - Responsible Party Funds (CAL EPA) <br />Funding for Cleanup: <br />RP - Responsible Party Funds <br />File Location: <br />L - Local Agency <br />RISK MANAGEMENT <br />Case Type: <br />❑ A - Drinking Water Supply Aquifer Affected E]F - Surface Water E]S - Soil Only <br />❑ W - Drinking Water Well Affected ❑ U - Undetermined Affected <br />Beneficial Use: <br />MUN - Municipal and Domestic Supply <br />Vulnerability Basis: <br />3 - Leak site above an aquifer used as a source of a community water system <br />MTBE Threat Classification: <br />NA- No mtruE contamination <br />MTBE Cleanup Classification: <br />NA <br />Number of Impacted Wells: <br />0 <br />Well Impact Description: <br />None <br />CASE MANAGEMENT <br />Brownfield: ® Y - Site is part of Brownfield Site Management Requirements: NA - No Action <br />Current Land Use: ❑ Agricultural ❑ Commercial ❑ Industrial ❑ Public Use ❑ Residential <br />® Exclude from Export "This box must be checked for P/E 2961 sites." <br />Completed By: Date: <br />Entered By: Date: <br />EH -29- <br />09/18/2007 <br />