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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0543470
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2019 5:32:37 PM
Creation date
2/11/2019 4:44:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543470
PE
2950
FACILITY_ID
FA0001719
FACILITY_NAME
SUSD-STAGG HIGH SCHOOL
STREET_NUMBER
1621
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
11009004
CURRENT_STATUS
02
SITE_LOCATION
1621 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
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EHD - Public
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0 <br /> 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.o-g/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SDOaW6j CaseI RO0O0 � Existing FAODC>f`7lq <br /> Facility [D: <br /> SITE INFORMATIONS�-yy�� I <br /> BusinesN39—SZan"joaquiuCounty <br /> � V '��!' �7(�rffs�' /� Phone: <br /> Street Dir: Street Name: ISV Type: RSI <br /> City: State: �F Zip: O V2O <br /> County: APN: l 1 O ,G 7 <br /> -O <br /> CASE INFORMATION <br /> Program Element: 2 Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: <br /> Funding for Cleanup: P <br /> i <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> Case Type: ElA -Drinking Water Supply Aquifer Affected ❑ F-Surface Water ❑ S -Soil Only <br /> ❑ W-Drinking Water Well Affected U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis:14 /VP <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well impact Description: None o P k uKtiCt[JKJ <br /> CASE MANAGEMENT <br /> Brownfield: ® N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural ❑ Commercial ❑ [ndustrial ❑ Public Use ❑ Residential <br /> Exclude.from Export "Leave blank unless PE code is any 2900 sites." <br /> Completed By J fJo _—_ Date: <br /> Entered By: s/ Date: <br /> 09/1,82007 <br />
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