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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.orglehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SD000>7<, � Case ID: R000(72t>g Existing FA 0024-19g <br /> Facility ID: <br /> SITE INFORMATION <br /> Business Name: '-It Phone: <br /> Street#: G 20 Dir. C Street Name: Type: S'TkE�T <br /> City: --rk(td� State: L//g Zip: <br /> County: 39—San Joaquin County APN: 2 2 O <br /> CASE INFORMATION <br /> Program Element: )L�Cf So Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <7,714L <br /> Funding for Regulatory Oversight: LP <br /> Funding for Cleanup: R P <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> ❑ A-Drinking Water Supply Aquifer Affected E] F-Surface Water E] 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: 014 <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None OR QA*AMWA� <br /> CASE MANAGEMENT <br /> Brownfield: I M N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural YCommercial ❑ Industrial ❑Public Use ❑Residential <br /> Exclude from Export "*Leave blank unless PE code is any 2900 sites." <br /> Completed By: J- MA'1 Date: <br /> Entered By: C Date: <br /> EH-29- <br /> 09/18/2007 <br />