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au .SAN JOAQUIN COUNTY <br /> { EMENTAL HEALTH DEPARTML.,lT <br /> 304 E Weber Avenue 3r1 Floor Stockton ■ CA 95202-2708 <br />� <br /> I, aQ•. •��P <br /> F. <br /> (209)468-3420 •Fax:(209)464-0138 Web:www.co.san-joaquin,ca.us/ehd <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> PA#: 04-74(SU) <br /> SITE LOCATION: 26850 N. LOWER SACRAMENTO RD., GALT, CA <br /> REPORT DATE: 2118/2004 <br /> Section Comments <br /> i <br /> 1.4 Include a site map demonstrating existing items on parcel. See examples on outline. Submit <br /> in an addendum. <br /> Include verification of research of any past agricultural chemical application if any to the <br /> 3.1 property. The San Joaquin County Agricultural Commissioner can produce this information. <br /> Contact the department at (209) 468-3300. Include findings in an addendum. <br /> j <br /> I <br /> I <br /> . I <br /> I <br /> I <br /> i <br /> I <br /> Ii <br /> 1 <br /> I <br /> I <br /> 1 <br /> EHE 26.02.001 Page 2 of 2 Surface&Sub Checklist <br /> 7/14/203 <br />