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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 /> t Existing FA <br /> Site ID ��7_� J: SD � Case ID: RO QQ0 4 30 lFacilityID: <br /> SITE INFORMATION <br /> Business Name: 4)ENb JS Phone: <br /> Street#: Com'l Dir: Street Name: �1(emdpwo/v Type: L.I¢/i/s <br /> City: d O bel State: �� Zip: <br /> County: 39—San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: ; Assigned Name: MAINSITE - A,91rsv <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: <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None Off'_ <.vOkJ 't) <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural f Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J,I& w? Date: 7,29-/L/ <br /> Entered By: Date: -7 64 <br /> 4 <br /> EH-29- <br /> 09/18/2007 <br />