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CASE MANAGEMENT <br />N - Site is not part of Brownfield Site Management Requirements: Brownfield: NA -No Action <br />Current Land Use: Agricultural II.. Commercial 111 Industrial fl Public Use Residential <br />Exclude from Export **Leave blank unless PE code is any 2900 sites.** <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.orgiehd <br />SITE REMEDIATION INFORMATION <br />Site ID: SD CocX:4,0.4v Case ID: ROocozogl Existing <br />Facility ID: FA 0024 1 Lt./0 <br />Business Name:KM5ce pEQ 41 41)6.,c)c Phone: <br />Street #: 7 3 ? -3 Dir: Street Name: LOE-, 5 -r- Type: 4/94j€ <br />City: S TVe( I-On) State: &1" Zip: ?3". 2 ( 0 <br />County: 39 - San Joaquin County APN:c j S. 41- / (0 0 ' 2. -S <br />Program Element: ),s5-(- Assigned Name: MAINSITE -Y0/9/Ciail <br />Regulatory Oversight Program: 1-(.4 L., <br />Funding for Regulatory Oversight: L 13 <br />Funding for Cleanup: g f' <br />File Location: L - Local Agency <br />ANAGEMENT <br />Case Type: <br />A - Drinking Water Supply Aquifer Affected fl F - Surface Water E S - Soil Only <br />LII W - Drinking Water Well Affected gi u _ Undetermined Affected <br />Beneficial Use: MUN - Municipal and Domestic Supply <br />Vulnerability Basis: Basis: <br />MTBE Threat Classification: y MTBE Cleanup Classification: NA <br />Number of Impacted Wells: 0 Well Impact Description: None ok ci 1., Kill 0 4., 4 ) <br />Completed By: Jjo *Ku PA Date: 6- e-/ 3 <br />Entered By: <br />0/ Ne310-i <br />Date: b-/ 13 <br />EH-29- <br />09/18/2007