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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 /> J Existing FA 001 <br /> Site ID: SD DD 6Z0'1 , Case ID: ROO19DZa Facilill, ID: <br /> SITE INFORMATION__ Phone: <br /> Business Name: `: r�iJ <br /> 2P EP <br /> �9 w6 Type: S <br /> Street#: LjqO Dir: Street Name: 1 <br /> State: C Zip: 3 3 <br /> City: M 0 tv rF e 4 <br /> APN: <br /> County: 39-San Joaquin County <br /> CASE INFORMATION <br /> WLocAgency <br /> � Assigned Name: MAINSITE <br /> ent: /.ersight Program: 6 Tl4 L <br /> egulatory Oversight: f°leanup:: L-Local Agency <br /> RISK MANAGEMENT <br /> ❑A-Drinking Water Supply Aquifer Affected ❑F-Surface Water ❑ S-Soil Only <br /> Case Type: U-Undetermined Affected <br /> ❑W-Drinking Water Well Affected <br /> Beneficial Use: MUN-Municipal and Domestic Supply <br /> Vulnerability Basis: X)/6 <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None <br /> d 2 u N leVoUJV <br /> CASE MANAGEMENT <br /> Brownfield: M N-Site is not part of Brownfield Site Management Requirements: NA-No Action <br /> Current Land Use: I ❑ Agricultural X, Commercial ❑Industrial ❑Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Date: S r 3 <br /> Completed By: 00-4-'- <br /> Date: S <br /> Entered By: <br /> EH-29- <br /> 09/18/2007 <br />