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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT SC <br /> 600 East Main Street, Stockton, CA 95202-3029 )VNED <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SD OC)o -1 6 Case ID: RO ()©O 1 1 I o Existing FA [� <br /> 1 Facili ID: <br /> SITE INFORMATION <br /> Business Name: � S ���, IA Ge— Phone: � �6 �trc <br /> - 2— <br /> Street#: 33 to Dir: 14L—� Street Name: j..r! Type: <br /> City: = State: CA Zip: <br /> County: 39-San Joaquin County APN: f/33gO0 S District: <br /> CASE INFORMATION <br /> Program Element: 2961-Cal EPA Voluntary Cleanup Program Assigned Name: <br /> Regulatory Oversight Program: CALEPA-Cal EPA Voluntary Cleanup Program <br /> Funding for Regulatory Oversight: RP-Responsible Party Funds(CAL EPA) <br /> _ <br /> Funding for Cleanup: RP-Responsible Party Funds <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> Case Type: C3A-Drinking Water Supply Aquifer Affected []F-Surface Water ElS-Soil Only <br /> El W-Drinking Water Well Affected JE�U-Undetermined Affected <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:] ED Y-Site is part of Brownfield Site Management Requirements: NA-No Action <br /> Current Land Use: I ❑ Agricultural ❑Commercial [Industrial ❑Public Use ❑Residential <br /> ®Exclude from Export **This box must be checked for PIE 2961 sites.** <br /> Completed By: �1"O3 Date: -->&"� �O <br /> Entered By: Date: -7-.-ol - 210 OHI <br /> EH-29- <br /> 09/18/2007 <br />