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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 /> Existing l <br /> Site ID: SD�DZo(.( Case ID: RODDO2D <br /> 0��/ Facility ID: FAc� � gZ <br /> SITE INFORMATION <br /> Business Name: >e0t) PF6pF27-y Phone: <br /> Street#: �� Dir: G Street Name: f�FWJ p t> Type: 7 <br /> City: S 9W State: Zip: <br /> County: 39—San Joaquin County APN: /�1 — O&b —) Lf <br /> CASE INFORMATION <br /> Program Element: �9�� Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: f_ <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 [2f U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: <br /> MTBE Threat Classification: MTBE Cleanup Classification: FNA <br /> Number of Impacted Wells: 0 Well Impact Description: None O R U iV Kti 0W ti <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural 0 Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: �0% /<uH-� Date: <br /> Entered By: Date: 27 <br /> EH-29- <br /> 09/18/2007 <br />