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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 /> X1883 <br /> Existing <br /> Site ID: SDppp2,p� Case ID: RObOO2A�1 Facili ID: <br /> SITE INFORMATION <br /> Business Name: U Ps FeC-fC,H7- Phone: <br /> Street#: 1[4q / Dir: Street Name: TOR.0 Type: Rpq,D <br /> City: ��fROP State: [1 0 Zip: O S 3 3 c) <br /> County: 39—San Joaquin County APN: 1 ej 8.0<1U —O y <br /> CASE INFORMATION <br /> Program Element: I �LQ J� Assigned Name: MAINSITE VnJAR4 rr7 <br /> Regulatory Oversight Program: 0 Tkj— <br /> Funding for Regulatory Oversight: 410 <br /> Funding for Cleanup: R P <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-Drink ng Water Well Affected U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: of �. <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None t7(Z u,uK,Vd1WA/ <br /> CASE MANAGEMENT <br /> Brownfield: M N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural � Commercial ❑ Industrial ❑Public Use ❑Residential <br /> Exclude from Export "Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J. o a64 Date: <br /> y <br /> C. N p Date: <br /> It 13 <br /> Entered B l- -�,V <br /> EH-29- <br /> 09/18/2007 <br />