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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/ehd <br /> SITE REMEDIATION INFORMATION <br /> �q Existing FA(� <br /> Site ID: SD OpQ2p Case ID: ROtX�2p�� Facili ID: <br /> SITE INFORMATION <br /> Business Name: �c7 R*14-rj RULC—(4W/ Phone: <br /> Street#: (SI'2 Dir: Street Name: (cJ E 1 55 Type: CU <br /> piLl <br /> City: E seI�LOA/ State: /� Zip: 9 z <br /> County: 39—San Joaquin County APN: �z? _ Q 8 <br /> CASE INFORMATION <br /> Program Element: C� 5d Assigned Name: MAINSITE- /o9/CCst� <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: <br /> MTBE Threat Classification: MTBE Cleanup Classification: NA <br /> Number of Impacted Wells: 0 Well Impact Description: None O R u W Kx)ozo N <br /> CASE MANAGEMENT <br /> Brownfield: ®N—Site is not part of Brownfield Site Management Requirements: NA—No Action <br /> Current Land Use: ❑ Agricultural P, Commercial ❑Industrial ❑Public Use ❑Residential <br /> Exclude from Export **Leave blank unless PE code is any 2900 sites.** <br /> Completed By: ,.) . `J 0#K(.,-L Date: <br /> Entered By: C�YN Q1-11 <br /> Date: <br /> EH-29- <br /> 09/18/2007 <br />