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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: LII Agricultural 5 Commercial Industrial El 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: wwvv.sjgov.orgiehd <br />SITE REMEDIATION INFORMATION <br />Ffioo 9. -7c) <br />Site ID: SD0OD 2/36'2,. Case ID: RO cool.° '3-4- Existing <br />Facility ID: EAbtOr0-1-C--5—^ <br />Business Name: f 5H-4- Cow Phone: <br />Street #: 3 3 1 Dir: t/ Street Name: (A) It..So L./ Type: 4j Ric) <br />City: 5 roe KTO Ki State: Q__ A Zip: 9,T <br />County: 39 — San Joaquin County APN:cm i -- ? <br />Program Element: 2%. 9' .C) Assigned Name: MAINSITE — Aifirtoi <br />Regulatory Oversight Program: 0 77-11._ <br />Funding for Regulatory Oversight: 1... p <br />Funding for Cleanup: R P <br />File Location: L — Local Agency <br />Case Type: <br />A - Drinking Water Supply Aquifer Affected fl F - Surface Water S - Soil Only <br />W - Drinking Water Well Affected [h. U - Undetermined Affected <br />Beneficial Use: MUN — Municipal and Domestic Supply <br />Vulnerability Basis: 9( ,tipi <br />MTBE Threat Classification: A MTBE Cleanup Classification: NA <br />Number of Impacted Wells: 0 Well Impact Description: None Dik u. iv Kri 0 t.) ril <br />Completed By: J-Y0eoe144-1 <br />Date: <br />Entered By: a AA-619-1 Date: <br /> <br />EH-29- <br />09/18/2007