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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.sigov.org/ehd <br /> SITE REMEDITATION INFORMATION <br /> Site ID: SD Cj 0a l q q Case ID: RO�� Existing <br /> L5r �r <br /> f FacilityID: FA <br /> SITE INFORMATION <br /> Business Name: N E Street(Utility Easement) Phone: <br /> Street#: 103 Dir: Street Name: N.E Type: Street <br /> City: Stockton State: CA Zip: 95205 <br /> County: 39—San Joaquin County APN: 15318001 <br /> CASE INFORMATION <br /> Program Element: 2961 —Cal EPA Voluntary CIeanup Program:=Assigned Name: Thuy Tran <br /> ' I <br /> Regulatory Oversight Program: CALEPA—Cal EPA Voluntary Cleanup Program <br /> Funding for Regulatory Oversight: RP-Responsible Party Funds (CAL EPA) i <br /> Funding for Cleanup: RP—Responsible Party Funds i <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> Case Type: El -Drinking Water Supply Aquifer Affected L1 -Surface Water E] S-Soil Only <br /> ❑W-Drinking Water Well Affected ®U-Undetermined Affected i <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: 3—Leak site above an aquifer used as a source of a community water system <br /> MTBE Threat Classification: NA—No MTBE Contamination MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: 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 <br /> ❑Residential a <br /> i <br /> ®Exclude from Export **This box must be checked for PIE 2961 sites.** <br /> Completed By: Thuy Tran Date: 04/14/2011 <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br /> i <br />