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2900 - Site Mitigation Program
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PR0537059
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
3/5/2020 11:04:30 AM
Creation date
3/5/2020 10:35:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0537059
PE
2950
FACILITY_ID
FA0021268
FACILITY_NAME
SACRAMENTO VALLEY LMTD PRTNRSHP DBA VERIZON WIRELESS
STREET_NUMBER
114
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04308411
CURRENT_STATUS
01
SITE_LOCATION
114 N MAIN ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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---------- <br /> 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.SJ90v.0rg/ehd <br /> SITE REMEDIATION INFORMATION <br /> EzistinI FA0021Z4id <br /> Site ID: SD 92,9 CaselD: R06aci2-0 -- FacilitylD: <br /> SITE INFORMATION Phone: <br /> Business Name: AODl p'1/IlaT- <br /> y�2P S7 <br /> Street#: If el Dir: �Ql/ Street Name: r Type: <br /> AfN <br /> `� State: � !� zip: R�zya <br /> City: LD D I <br /> APN: a '-(3 08 ` 1 GIS <br /> County: 39–San Joaquin County — <br /> $AN;IIO"IATICONFORMATION <br /> �U Assigned Name: MAINSITC y6l4Ku � <br /> ment:versight Program: CJ T- 1Regulatory Oversight: <br /> Cleanup:n: L–Local Agency <br /> RISK MANAGEMENT <br /> ❑A-Drinking Water Supply Aquifer Affected ❑ F- Surface Water ❑ S -Soil Only <br /> Case Type: U-Undetermined Affected <br /> ❑ W-Drinking Water Well Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: C// A) lq <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> NumberoftmpactedWells: 0 Well Impact Description: None ok uJUICtu04i Al <br /> CASE MANAGEMENT <br /> rCutleal'uLand <br /> O N—Site is not pact of Brownfield Site Management Requirements: NA—No Action <br /> Use: ❑ rlgricullur'I Commercial Industrial ❑ Pubic lJse ❑Residential <br /> om Czpul ''Leave blanl:unless PE code is any 2900 sites." <br /> `` �J� <br /> Completed 13y: Date: <br /> J. J <br /> Date: <br /> Entered By: <br /> 09118n007 <br />
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