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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 Case ID: RO Existing FA <br /> U00 X11 (POO x1 y7 iFaciIityID: <br /> SITE INFORMATION <br /> Business Name: DONRti D'50 iU Phone: <br /> Street#: -'2'qo Dir: IV Street Name: �c4 r-r Type: S j7�E�cT <br /> City: s-09krOA, State: � Zip: <br /> County: 39—San Joaquin County APN: 3 C/- <br /> CASE INFORMATION <br /> Program Element: 1 -2ct Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: <br /> Funding for Cleanup: <br /> File Location: FL—Local Agency <br /> RISK MANAGEMENT <br /> ❑A-Drinking Water Supply Aquifer Affected ❑F-Surface Water ElS-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: C <br /> MTBE Threat Classification: V MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None (0 W KAJd v qJ <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> -F <br /> Current Land Use: ❑ Agricultural Z Commercial ❑Industrial ❑Public Use ❑Residential <br /> ,`Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J. Le,#Kli w/ Date: <br /> Entered By: 00V-"-' ,ate Date: <br /> EH-29- <br /> 09/18/2007 <br />