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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.org/ebd <br /> SITE REMEDIATION INFORMATION <br /> Site ID: SD ()()0`_10( Case ID: RO Gt�1k)z i-j Existing FA <br /> Facility ID: <br /> SITE INFORMATION <br /> Business Name: 1. �'R(dN5 Phone: <br /> Street#: Dir: Street Name: i 0Type: <br /> City: -� k Re State: Zip: <br /> County: 39—San Joaquin County APN: <br /> CASE INFORMATION <br /> Program Element: Assigned Name: MAINSITE <br /> Regulatory Oversight Program: <br /> Funding for Regulatory Oversight: (, <br /> Funding for Cleanup: P <br /> File Location: L—Local Agency <br /> RISK MANAGEMENT <br /> ❑A-Drinking Water Supply Aquifer Affected ❑ F-Surface Water ❑ S-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: XV <br /> MTBE Threat Classification: u MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None 6 R u Al f(,f�ocv�tJ <br /> CASE MANAGEMENT <br /> Brownfield: I M N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural A Commercial ❑ Industrial ❑ Public Use ❑Residential <br /> 'Exclude from Export "Leave blank unless PE code is any 2900 sites.** <br /> Completed By: J- 0 { Date: <br /> Entered By: �✓� ,' � Date: <br /> EH-29- <br /> 09/18/2007 <br />