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CASE MANAGEMENT <br />Brownfield: Y - Site is part of Brownfield Site Management Requirements: NA - No Action <br />Current Land Use: El Agricultural El Commercial El Industrial E Public Use Residential <br />E Exclude from Export **This box must be checked for PIE 2961 sites.** <br />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 REMEDITATION INFORMATION <br />Site ID: SD cads <br />I <br />, ig. <br />/ V <br />Case ID: RO SIM pf ,.., .,z " a y <br />Existing <br />Facility ID: FA <br />Business Name: r`s*N. ciXtk.M.--) \-1...Q.A.LANA-44.12"0%. <br />Phone: <br />Street #: 7762 Dir: E Street Name: West Ripon Road Type: <br />City: Manteca State: CA Zip: 95337 <br />County: 39 - San Joaquin County APN: 257-140-01 <br />Program Element: 2961 - Cal EPA Voluntary Cleanup Program Assigned Name: Muniappa Naidu <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 />Case Type: <br />111 A - Drinking Water Supply Aquifer Affected <br />W - Drinking Water Well Affected <br />E <br />i4 <br />F - Surface Water S - Soil Only <br />U - Undetermined Affected <br />Beneficial Use: MUM - 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 MTBE Cleanup Classification: NA <br />Number of Impacted Wells: 0 Well Impact Description: None <br />Completed By: Muniappa Naidu Date: 11/4/08 <br />Entered By: Bonnie Woodward &a...) Date: 1408 <br />EH-29- <br />09/18/2007