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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/chd <br /> SITE REMEDIATION INFORMATION <br /> p Existing FA <br /> Site ID: SD�b /cro'L Case ID: RO l Z 3 Facilit ID: Cl��� <br /> SITE INFORMATION <br /> Business Name: 19A/A) ( .S//FcL Phone: <br /> Street 9: 3 72S Dir: Af Street Name: `jR9Lf Type: Btu p <br /> City: �lIgG State: e/r Zip: 95 30y <br /> County: 39-San Joaquin County APN: ,�/ "z_ ( 70 _ 3 CJ <br /> CASE INFORMATION <br /> Program Element: 'Ict s Assigned Name: MAINSITE - )J/q,(ct Iy <br /> Regulatory Oversight Program: 0 7-"L- <br /> Funding for Regulatory Oversight: (J <br /> Funding for Cleanup: 1 (� <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> tO <br /> Drinking Water Supply Aquifer Affected ❑ F-Surface Water ❑ S-Soil Only <br /> Case Typ <br /> Drinking Water Well Affected 29 U-Undetermined Affected <br /> Beneficia -Municipal and Domestic Supply <br /> VulnerabQ1MTBE Tcation: X MTBE Cleanup Classificaton: NA <br /> Number ells: 0 Well Impact Description: None O R 4N<Vowoz/ <br /> CASE MANAGEMENT <br /> Brownfield: ®N-Site is not part of Brownfield Site Management Requirements: NA-No Action <br /> Current Land Use: ❑ Agricultural /R, Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> xclude from Export *"Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J A 4--e-kvy7 Date: <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br />