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JAN-01-1900 06:15 P.05 <br /> Vj; <br /> EN'vIRONMENTAL HEALTH DEPARTM�fT <br /> 304 E Weber Avenue 3rd Floor Stockton -CA 952022708 <br /> (209)468-3420-Fax:(209)464-0138 - Web:www.co.san-joaquin.ca.us/ehd <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> PA#: 05-55 (SU) <br /> SITE LOCATION: 3832-3838 N. PLYMOUTH ROAD, $TOCKTON <br /> REPORT DATE: 10/17/2004 <br /> Section Comments <br /> 1.2 Information regarding the future development of the property is required. <br /> 1A ; A site map is required. This map is to show the locations of any structures, wells, or septic <br /> systems that currently exist at this site. <br /> An interview of the current owner(s) for pertinent information regarding the pxoperty is <br /> 2.1 required. The!,date of the interview, as well as the names of the interviewer and <br /> interviewee (s)'is also to be submitted in the addendum. <br /> 3.1 A review/search of EHD records for this site and surrounding properties (within one-quarte <br /> mile) is required. <br /> erD 26-02-001 Page 2 of 2 surf=&sub Cn«kfiat <br /> 7J)4Y!D01 <br /> TOTAL P.aS <br />