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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: vrwNv.sjgov.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: L/ Case ID: RO 0jDL-)2-0(0 Existing FA00T0q'3/ <br /> I I Facility ID: <br /> SITE INFORMATION <br /> Business Name: I ed 5 rL40 ' 4ab Phone: <br /> Street 9: 4,56 1 Di,: Street Name: 1\(-yfLj0jj)'S ROfojjj Type: <br /> City: State: zip: 2 <br /> County: 1 39-San Joaquin.County APN: SS, b50 <br /> CASE INFORMATION <br /> Program Element: I ;L q:e3ror Assigned Name: MAINSI I I- Yd*j4hq <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: <br /> Funding for Cleanup: <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> 0 A-Drinking Water Supply Aquifer Affected El F-Surface Water El S -Soil Only <br /> Case Type: <br /> F] W-Druiking Water Well Affected U-Undetermined Affected <br /> Beneficial Use: N4`U Municipal and Domestic Supply <br /> Vulnerability Basis: & A),q <br /> MTBE Tlireat Classification:' MTBE Cleanup Classification: I NA <br /> Number of Impacted Wells]- 0 -j Well Impact Description: I None G R uvcwow <br /> CASE MANAGEMENT <br /> Brownfield: I M N-Site is not part of Brownfield I Site Management Requirements: I NA-No Action <br /> Current Land Use: I F1 Agricultural 75 Commercial El Industrial E] Public Use El Residential <br /> Exclude from Export Leave blank unless PE code is any 2900 sites.y-- <br /> Completed By: Date: /-fO-(3 <br /> Entered By: Date: <br /> L- <br /> 09/1 8/2007 <br />