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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0539716
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2019 4:10:47 PM
Creation date
2/11/2019 3:32:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0539716
PE
2950
FACILITY_ID
FA0022723
FACILITY_NAME
WALDO ROSE STORAGE
STREET_NUMBER
1919
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14315001
CURRENT_STATUS
01
SITE_LOCATION
1919 N BROADWAY AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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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: vwvw.sjgov.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SD (�JO1.�17 Case ID7-: R (�� Existing FA <br /> �'D� Facility ID: <br /> SITE INFORMATION <br /> Business Name: 061,W RO'j,' ST�Ac<- Phone: <br /> Street#: �q 1 Dir: �)U Street Name: Type: <br /> City: 5 7?�Ie 47-0-4u state: d p/ zip: If Z 0•a <br /> County: 39—San Joaquin County APN: /q,?-KC) .p / <br /> CASE INFORMATION <br /> Program Element: A7 1O Assigned Name: MAINSIT$ 10*.Cuoj <br /> Regulatory Oversight Program: "`fj/�„ <br /> Funding for Regulatory Oversight: <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 U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: AfA <br /> MTBE Threat Classification: ,/ MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None p R41,VAC41 W <br /> CASE MANAGEMENT <br /> Brownfield: I ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural [.-,21%Commercial ❑Industrial ❑Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J.l d awo? Date: 11.3G.f 4l <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br />
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