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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0537704
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/23/2020 9:09:19 AM
Creation date
1/23/2020 9:06:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0537704
PE
2950
FACILITY_ID
FA0021728
FACILITY_NAME
COSTCO
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23860006
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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0 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.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Existing FA <br /> Site ID: SDp���O��p Case ID: ROpOp2(��]� Facili ID: <br /> SITE INFORMATION <br /> Business Name: (2057 Phone: <br /> Street#: 32so Dir: 1) Street Name: G 2FlAiT t/wrw _ Type: <br /> City: 'TR►t�)u� State: C Zip: <br /> County: 39—San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: I �C( 5 v Assigned Name: MAINSITE <br /> Regulatory Oversight Program: 7—r/1— <br /> Funding <br /> ]`r/LFunding for Regulatory Oversight: j <br /> Funding for Cleanup: 1 <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 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 p k tt u Kuao aJ <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural ;4 Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J 0�fam Date: <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br />
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