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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: ww%v.sjgov.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: I SDOOOZ(9,;,3 Case ID: R00b02-0G5-**' Existing FA I I I Facility ID: <br /> SITE INFORMATION <br /> Business Name: 1 S,3 R R Phone: <br /> Street 16001> Dir: I Ail Street Name: lt5eA4 L Type: <br /> City: 5 TIOL'KTOA) State: ' e j+ zip: �? <br /> County: 39—San Joaquin County APN: 1/7— 090 _1 41 <br /> CASE INFORMATION <br /> Program Element: Assigned Name: MAINSITE <br /> Regulatory Oversight Program: 0 T(-1 L <br /> Funding for Regulatory Oversight: <br /> Funding for Cleanup: <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> F-1 A-Drinking Water Supply Aquifer Affected F] F-Surface Water ❑ S-Soil Only <br /> Case Type: F1 W-Dr4iking Water Well Affected U-Undetermined Affected <br /> Beneficial Use: N4`U Municipal and Domestic Supply <br /> Vulnerability Basis: <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: I None '0 k Q k) Cj <br /> CASE MANAGEMENT <br /> Brownfield: Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural 0 Commercial A[ndUStrial E] Public Use Ej Residential <br /> [exclude from Export *Leave blank unless PE code is any 2900 sites.*-+ <br /> Completed B J- yof,(v P1 Date: <br /> Entered By: I0.A/a Date: <br /> 09/18/2007 <br />