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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 /> Site ID: SD 0 0 G���C�, Case ID: RO (�Q����1 Exis�11D: <br /> Faci <br /> SITE INFORMATION <br /> Business Name: U Lj-R q w►dq k �G L�� Phone: <br /> Street#: I /20 / Dir: C— Street Name: /1/9phM6k Type: 40. LSF <br /> City: S-fzCf t6X." State: Zip: C?j21 0- <br /> County: 39—San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: -Z at So Assigned Name: MAINSITE , y0'"u <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: �. <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 U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: - y <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 1 0 Well Impact Description: None 4+, 4 v /fix,04-s,V <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural V-,Commercial ❑Industrial ❑Public Use ❑Residential <br /> Exclude from Export "Leave blank unless PE code is any 2900 sites." <br /> Completed By: k fyDate: <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br />