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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 <br /> Site ID: SDppO P� 3 Case ID: RO Oo�2 O�- Facility ID: F`�O(n) <br /> SITE INFORMATION <br /> Business Name: 4XSTI A K'C- Phone: <br /> ;CountVy: 39 <br /> 3C� <br /> Dir:_15 Street Name: !' �n jq A,) Type: <br /> n <br /> LU�j / State: '7fY Zip: <br /> -San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: iso Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: t- <br /> Funding for Cleanup: <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> ❑A-Drinking Water Supply Aquifer Affected ❑F-Surface Water ❑ S-Soil Only <br /> Case Type: <br /> ❑ W-Drinking Water Well Affected EA U-Undetermined Affected <br /> Beneficial Use: MUN-Municipal and Domestic Supply <br /> Vulnerability Basis: N �} <br /> MTBE Threat Classification: MT=Cleanupassification: NA <br /> Number of Impacted Wells: 1 0 Well Impact Description: None Je (�,,v1ejVU4ej y <br /> CASE MANAGEMENT <br /> Brownfield: ®N-Site is not part of Brownfield Site Management Requirements: FNA-NoAction <br /> Current Land Use: <br /> ❑ Agricultural ❑ Commercial (Industrial E] Public Use ❑Residential <br /> [ f Exclude from Export "Leave blank unless PE code is any 2900 sites." <br /> Completed By: p i rt4 Date: / 3 <br /> Entered By: Date: b <br /> EH-29- <br /> 09/18/2007 <br />