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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: ROU11C7?-O Y� Existing Facilit ID: F4 �U-L, <br /> � <br /> SITE INFORMATION <br /> Business Name: Jd 6XT(D RC)b _ Z-to/jl �OA)X Phone: <br /> Street 9: (O ( ( Dir: S Street Name: eFRGKCC— Type: {j/v�G <br /> City: `01> State: 14 zip: <br /> County: 39-San Joaquin County APN: U� 7 100 0 <br /> CASE INFORMATION <br /> Program Element: M 7D Assigned Name: MAINSITE —y04XAAI <br /> Regulatory Oversight Program: <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 X U- Undetermined Affected <br /> Beneficial Use: MUN-Municipal and Domestic Supply <br /> Vulnerability Basis: �/ - <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None 0 2 U,N KNow N <br /> CASE MANAGEMENT <br /> Brownfield: ® N-Site is not part of Brownfield Site Management Requirements: NA-No Action <br /> Current Land Use: tEl Agricultural ❑ Camnercial KfndLIStrial ❑ Public Use ❑ Residential <br /> Exclude from Export "Leave blank unless PE code is any 2900 sites.--- <br /> Completed <br /> ites.-Completed By: Date: JJJ <br /> Entered By: Date: <br /> �o m S D� I►3�sF v� <br /> EH-29- <br /> 09n8noo7 ZoSo - Z9 <br />