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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 /> ExistinSite 1D: SD 00003 CO--' Case fD RCj )000 2o�p 3 Fac lity[I F <br /> SITE INFORMATION <br /> Business Name: J694 b L Phoue: <br /> Street#: ��3Z3 Dir: N Street Name: Type: ���G��w�y <br /> City: I)-C4rqM j'0 State: � Zip: l5,220 <br /> County: 1 39-San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: �� Assigned Name: MAINSITE <br /> Regulatory Oversight Program: T-(4L <br /> Funding for Regulatory Oversight: (� <br /> Funding for Cleanup: <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> Case Type: F1A-Drkking Water Supply Aquifer Affected ❑ F-Surface Water ElS -Soil Only <br /> ❑ W-Druiking Water Well Affected U-Undetermined Affected <br /> Beneficial Use: MUN-Municipal and Domestic Supply <br /> Vulnerability Basis: v " <br /> MTBE Threat Classification: )( MTBE Cleanup Classification: NA <br /> Numberof Impacted Wells: 0 Well Impact Description: None OR u/V 1Ca)C) � L) <br /> CASE MANAGEMENT <br /> Brownfield: M N-Site is not partof Brownfield Site Management Requirements: INA-NoAction <br /> Current Land Use: ❑ agricultural A Commercial ❑ [ndustrial ❑ Public Use ❑ Residential <br /> Exclude from Export "Leave blank unless PE code is any 2900 sites._;; <br /> Completed By: —_- X414 Date: <br /> - fT1 - <br /> >' Entered By: Date: <br /> --- -a'- e-b - � l `t_ iZ <br /> 11-1-29- <br /> 09/18/2007 <br />