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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACOB BRACK
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18667
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2900 - Site Mitigation Program
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PR0528324
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2020 3:08:06 PM
Creation date
2/6/2020 9:11:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0528324
PE
2965
FACILITY_ID
FA0019131
FACILITY_NAME
SUTTER HOME LODI WINERY
STREET_NUMBER
18667
STREET_NAME
JACOB BRACK
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01109014
CURRENT_STATUS
01
SITE_LOCATION
18667 JACOB BRACK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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`./ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Sheet, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wwxv.sjgov.org/ehd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SD o fjd ((O L4 Case ID: R060011o22- Existing FA <br /> Facili[ [D: <br /> SITE INFORMATION <br /> Business Name: SuTRP— Hdol(_ /.JIN(*Lj Phone: <br /> Street#: I j 7 Dir: N 1 Street Name: Type: 14tj <br /> City: State: Cq Zip. 9SZ je <br /> County: 39 -San Joaquin County APN: O - U 7 <br /> CASE INFORMATION 7 <br /> Program Element: Assigned Name: MAINSITE <br /> Regulatory Oversight Program: ©7-H[-- <br /> Funding for Regulatory Oversight: IhP <br /> Funding for Cleanup: <br /> File Location: L-Local Agency <br /> RISK MANAGEMENT <br /> Case Type: L] A - Drinking Water Supply Aquifer Affected E] F-Surface Water ❑ S-Soil Only <br /> ❑ W- Drinking Water Well Affected f�, U-Undetermined Affected <br /> Beneficial Use: MUN -Municipal and Domestic Supply <br /> Vulnerability Basis: N� <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well impact Description: None <br /> CASE MANAGEMENT <br /> Brownfield: ® N-Site is not part of Brownfield Site Management Requirements: NA -No Action <br /> Current Land Use: ❑ Agricultural K Commercial ❑ Industrial ❑ Public Use ❑ Residential <br /> Exclude from Export °Leave blank unless PE code is any 2900 sites.' <br /> Cmapleted BY <br /> - J -- - Date: <br /> Entered By: Date: 4f <br /> FH-29- <br /> 09/13/2g07 <br />
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