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0 9 <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.sjgov.orglehd <br /> SITE REMEDIATION INFORMATION <br /> Case ID: RO MO26 Existing FA ObZ 182.3 <br /> Site ID: SDOh>Zt1 y 9 �� Facilit ID: <br /> SITE INFORMATION <br /> Business Name: j iZ�3wCH SNC Phone: <br /> Street#: ' (_.ZFj Q Dir: /( Street Name: /V b 5Eej t c>j 1 Type: <br /> City: T-(jo 2 NTUN State: L1/� Zip: <br /> County: 39—San Joaquin County APN: OGS I <br /> CASE INFORMATION <br /> Program Element: 7 O Assigned Name: MAINSITE <br /> Regulatory Oversight Program: G� �JL <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: 0 N I� <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None U R U ti KNOGljNJ <br /> CASE MANAGEMENT <br /> Brownfield: M N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural [g Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: �. c A Date: <br /> Entered By: C Date: Z' 3 <br /> EH-29- <br /> 09/18/2007 <br />