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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 /> Site ID: SD / Case ID: RO Existing FA�Jb'D <br /> ��?�ya��IZ FacilityID: b <br /> SITE INFORMATION <br /> Business Name: ©ivwUp-p Sfy�q/ees Phone <br /> Street#: /&I Dir: Street Name: ELL � ��� Type: &,),151 <br /> City: m t$N T-C—CR State: Zip: 9 5 3 3 7 <br /> County: 39-San Joaquin County APN: ,, �' 1- 5 Z V - O 3 <br /> CASE INFORMATION <br /> Program Element: 9 (P Assigned Name: MAINSITE- 09}Kus+-/ <br /> Regulatory Oversight Program: O J-t-Ak <br /> Funding for Regulatory Oversight: <br /> Funding for Cleanup: R P <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> [-IA-Drinking Water Supply Aquifer Affected ❑F-Surface Water ❑ S-Soil Only <br /> Case Type: <br /> ❑ W-Drinking Water Well Affected E2� U-Undetermined Affected <br /> Beneficial Use: MUN-Municipal and Domestic Supply <br /> Vulnerability Basis: u <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None U R U NKa/ow'E) <br /> CASE MANAGEMENT <br /> Brownfield: M N-Site is not part of Brownfield Site Management Requirements: NA-No Action <br /> Current Land Use: ❑ Agricultural ❑ Commercial ❑ Industrial ❑ Public Use Pesidential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J. OAKLLwl Date: pp q Y <br /> Entered By: Date: 9 <br /> EH-29- <br /> 09/t8/2007 <br />