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oea`'' SAN JOAQUIN COUNTY f� <br /> ENti., ONMENTAL HEALTH DEPARTNIIy�JT <br /> F �r <br /> Q <br /> F- 304 E Weber Avenue 3`d Floor Stockton • <br />� CA 95202-2708 <br /> (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ea.us/ehd <br /> eRt a <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> SITE LOCATION: 3548 W. COUNTRY CLUB BLVD., STOCKTON PA#: 05-784(GP) & 806 (ZR) <br /> REPORT DATE: 1/1.312005 <br /> k Suction omments <br /> f1 4 <3 / he site map did not show items such as structures, driveways, wells, septic!;systems, or <br /> onds. <br /> �r <br /> 3.2 ✓ The report did not contain specific data or permit copies regarding site septic'permit history. i <br /> 3.4 bl The report did not contain specific information and description of existing septic tank usage <br /> in the general area. <br /> 3.51/ The report did not contain specific data or permit copies regarding general area septic <br /> permit history. <br /> 5.1/6.1V The site map did not show the locations of the soil profile pit/percolation test holes <br /> 6^ The Percolation Test Form was missing the signatures of an inspector and that of a certified-- <br /> individual. D <br /> ertifiedindividual. ,„ D <br /> <insp-e-ction-staff,a-ret#sl-wiil-be-mquire'd er a-new-perr-mit-and-with-E,HD-inspection <br /> -staff- resent: <br /> OTHER At this time EHD is requiring an addendum to the Soil Suitability Study Report and <br /> Nftrate-t- a n Ludy for land use applications PA-05-784 (GP) and PA-05-806 (ZR). <br /> T'he-Nitnke-Loading Stu e perm n r-f6khe <br /> ,preciously-stibmit*d-fti1-SpritWbHft77StudylS"R#OM79S and the differencb"rmpefmit <br /> fees $465:00-vs,$446.00--is-to-be- aid-at-the time o"f' I ation: <br /> t <br /> EHD 26-02-003 Page 3 of 3 <br /> 7!14/2003 Soil Suitability Checklist <br /> I <br />