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0 0 <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.org/ehd <br />SITE REMEDIATION INFORMATION <br />Existing FA`J022 Z20 <br />Site ID: SDOOD2SIZ b Case ID: ROS 2f Facility ID: �I Cpl <br />1\r V llirlt111 <br />Name: <br />V 1\ <br />S//d PRuf� IES <br />Phone: <br />MAINSITE <br />EBusiness <br />C , <br />Dir: <br />% f <br />Funding for Cleanup: <br />9 Lute H <br />Type: <br />Pq�./�?ec <br />Well Impact Description: <br />rMou &TAW tyoIfSE <br />State: <br />�f �- <br />Zip: <br />5'50 <br />County: <br />39 — San Joaquin County <br />APN: <br />�t �' t )� ' �3 <br />AT1TT T <br />Va`11iL` 11\D V1�111A <br />Program Element: <br />11V1\ <br />Assigned Name: <br />MAINSITE <br />Regulatory Oversight Program: <br />C , <br />Funding for Regulatory Oversight: <br />% f <br />Funding for Cleanup: <br />F\, f <br />File Location: <br />L — Local Agency <br />w.r A wT A �r,`XXr XTm <br />1\11J11111A1\AVJJiTaJJ1\ <br />n or, <br />a <br />A - Drinking Water Supply Aquifer Affected ❑ F - Surface Water ❑ S - Soil Only <br />❑ W - Drinking Water Well Affected U - Undetermined Affected <br />Date: <br />MUN —Municipal and Domestic Supplyasis: <br />&n,nk. <br />C , <br />Classification: <br />% f <br />MTBE Cleanup Classification: <br />NA <br />pacted Wells: <br />0 <br />Well Impact Description: <br />None G w K trJAV <br />AK A AT A!'Ti AiiL`NT <br />Brownfield. ® N — Site is not part of Brownfield Site Management Requirements: I NA —No Action <br />Current Land Use: ❑ Agricultural ❑ Commercial ❑ Industrial ❑ Public Use In" Residential J <br />Exclude from Export **Leave blank unless PE code is any 2900 sites.** I <br />Completed By: <br />, 10 6A« <br />Date: <br />y-16-/11! <br />Entered By: <br />C , <br />Date: <br />% f <br />EH -29- <br />09l18/2007 <br />