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xEg _ ` <br /> q ,p <br /> f <br /> MME <br /> WORK DESCRIPTION <br /> SENSITIVE RECEPTORS - RISK ASSESSMENT <br /> SITE SURVEY AND LITERATURE RESEARCH <br /> -I STORE #: 03 <br /> �J LOCATION: 6425 Pacifio Av_�nue <br /> CITY/STATE: Stockl '_q_Q1liT rnil _ <br /> I. Provide answers to the following questions: <br /> A. Is there a public water supply well within 2500'? (YIN) -Yg.�— <br /> If yes, distance (Ft.) -k— <br /> R, Is there a private water supply Nell within 1000'? (YIN) Yes <br /> If yes, distance (Ft.) 8Q0 <br /> C. Is there a subway within 10001 (YIN) - -- <br /> If yes, distance(Ft.) <br /> D. Is there a basement within 1000'? (YIN) Na.__ <br /> If yes, disi_nce (Ft.) <br /> E. Is there a school within 10001 (YIN) Yes <br /> If yes, distance (Ft.) -!Mo <br /> F. Is there a surface body of water within 1000'? (YIN) No <br /> If yes, distance (Ft.) <br /> I[. Describe type of local water supply. X <br /> Public <br /> - Supplier's Name: City of Stockton Water Utility <br /> - Supplier's Source: Ground-Water <br /> - Distance to Site: Noted Above None_ <br /> i Private <br /> Aquifer Classification, if available. <br /> Class I <br /> - Special Ground Water <br /> - Irreplaceable Drinking Water Source <br /> - Ecologically Vital <br /> Class it <br /> - Current and Potential Drinking Water Sources <br /> Class III <br /> - Not Potential Source of Drinking Water <br /> IV. Describe observation wells, if any. Nnnc <br /> 78 of 90 <br /> or F4 t74-Ft <br /> ui <br />