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UST Case Closure Summary Form <br /> Agency Information <br /> Agency fume: San Joaquin County Environmental Address: 1868 E. Hazelton Ave. <br /> Health Department <br /> City/State/Zip: Stockton, CA 95205 Phone: (209)468-3442 <br /> Staff Person: Gabriel Gonzalez Title: Environmental Health Specialist <br /> Case Information: (expand if needed) <br /> Facility [dame: Blincoe Trucking <br /> Facility Address: 2431 E. Mariposa Rd., Stockton, CA 95205 <br /> RB LUSTIS Case No: 391195 Local Case No.: LOP Case No.: 2118 <br /> URF Filing Date: 05/1612014 Global ID: T10000005922 <br /> Responsible Party(s): Address: Phone: <br /> James E. Blincoe Trust 14501 Wells Ln. Lodi, CA 95240 <br /> Attn: Janet Blincoe <br /> Tank Information (Delete table if Tank info becomes a tab in GeoTracker and included in CSM Report) <br /> Tank No. Size (gal) Contents Closed in-Place/ Date <br /> Removed/Active <br /> 39-0181803 12,000 Diesel Removed 03/11/2014 <br /> 39-0181804 12,000 Diesel Removed 03111/2014 <br /> Conceptual Site Model (Attach printout of GeoTracker CSM Report including soil <br /> and groundwater data) <br /> Closure Criteria Met (Attach printout of GeoTracker LTCP Checklist) <br /> Optional Site map(s) <br /> https:llgeotracker.waterboards.ca.gov/esituploadslgeo_repor69317415356/T10000005922.PDF <br /> 2014-2015--LOP Agency Guidebook-Section 9 <br />