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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545328
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 8:51:28 PM
Creation date
2/11/2020 11:00:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545328
PE
3528
FACILITY_ID
FA0009569
FACILITY_NAME
Custom Design Manufacturing
STREET_NUMBER
248
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206046
CURRENT_STATUS
02
SITE_LOCATION
248 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Case Closure Summar-- <br /> Le.--.ng Underground Fuel Storage Ta Pro 1oc� <br /> I Agency Information `� gfl e: DEC 12 IJJ5 <br /> Agency name:SAN JOAQUIN COUNTY PHS/EHD Address: 304 L WEBER AVE <br /> City/State/Zip: STOCKTON CA 95202 Phone: (209) 468-3420 <br /> Responsible staff person:S SASSON Title: SENIOR R}3HS <br /> II. Case Information <br /> Site facility name: GEWEKE RV <br /> Site facility address: 248 E KETTLEMAN LANE LODI 95241 <br /> RB LUSTIS Case No: Local Case No: LOP Case No: 1344 <br /> URF filing date: SWEEPS No: <br /> Responsible Parties Addresses Phone Numbers <br /> DARYL & O GEWEKE TRS P O BOX 1210 LODI CA 95241 (209) 334-6500 <br /> Tank No Size in Gal. Contents Closed in-Place/Removed? Date <br /> 1 1, 000 GAL UNLEADED REMOVED 03/30/90 <br /> 2 500 GAL WASTE OIL REMOVED 03/30/90 <br /> F , <br /> 3 <br /> IIT_. Release and Site Characterization Information <br /> lCause and type of release: UNAUTHORIZED <br /> Site characterization complete? (Yes) No Date approved by oversight agency:12/04/95 <br /> Monitoring Wells Installed? Yes (NO) Number: Proper screen interval? Yes No <br /> Highest GW depth below ground surface: 40' Lowest depth: Flow direction: <br /> Most Sensitive Current Use: POTENTIAL BENEFICIAL USE <br /> Are drinking water wells affected? Yes (No) Aquifer name: <br /> Is surface water affected? Yes (No) Nearest/affected SW name: <br /> Off-site heneficial use impacts (addresses/locations) : <br /> Report(s) on file? (Yes) No Where is report(s) filed? 304 E WEBER AVE STOCKTON <br /> Treatment and Disposal of Affected Material <br /> Material Amt. (inc. Units) Action (Treatment or Disposal w/Destination Date <br /> Tank #1 1, 000 GAL SEMCO 431 HATCH RD MODESTO 04/10/91 <br /> #2 —550 GAL SEMCO 431 HATCH RD MODESTO 04/10/91 <br /> Piping <br /> Free Product <br /> I Soil i <br /> i <br /> Groundwater <br /> Barrels <br /> Exhibit N Page 1 of 2 <br />
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