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SAN JOAQ UIN 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/ehd <br /> SITE REMEDITATION INFORMATION <br /> Site ID: SD �r D Case ID: RO "''S\OD I q b 7 Existing FA <br /> 3 V Facility ID: <br /> SITE INFORMATION <br /> Business Name: CA Army National Guard Phone: (916)369-4338 <br /> Street#: 333 Dir: N Street Name: Washington Type: Street <br /> City: Lodi State: CA Zip: 95240 <br /> County: 39—San Joaquin County APN: 04123039 <br /> CASE INFORMATION <br /> Program Element: 2961 —Cal EPA Voluntary Cleanup Program Assigned Name: von Flue <br /> Regulatory Oversight Program: CALEPA—Cal EPA Voluntary Cleanup Program <br /> Funding for Regulatory Oversight: RP-Responsible Party Funds(CAL EPA) <br /> Funding for Cleanup: RP—Responsible Party Funds <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> E] A-Drinking Water Supply Aquifer Affected ❑ F-Surface Water El -Soil Only <br /> Case Type: <br /> ❑ W-Drinking Water Well Affected ® U-Undetermined Affected <br /> Beneficial Use: MUN—Municipal and Domestic Supply <br /> Vulnerability Basis: 3—Leak site above an aquifer used as a source of a community water system <br /> MTBE Threat Classification: NA—No MTBE Contamination 1 MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None <br /> CASE MANAGEMENT <br /> Brownfield: ® Y—Site is part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural ® Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> ® Exclude from Export **This box must be checked for PIE 2961 sites.** <br /> Completed By: Ray von Flue Date: 09/30/09 <br /> Entered By: Date: <br /> EH-29- <br /> 09/18/2007 <br />