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SAN JOAQUIN COUNTY <br /> EN'V MONMENTAL HEALTH DEPARTML-NT <br /> 304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 <br /> (209)468-3420 • Far: (209)464-0138 • Web: www.co.san-joaquin.ca.us/ehd <br /> •,<fop R� <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> PA#: 05-55 (SU) <br /> SITE LOCATION: 3832-3838 N. PLYMOUTH ROAD, STOCKTON <br /> REPORT DATE: 10/17/2004 <br /> Section Comments <br /> 1.2 Information regarding the future development of the property is required. <br /> 1.4 JA 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 property is <br /> 2.1 required. The date of the interview, as well as the names of the interviewer and <br /> interviewees 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-quarter <br /> mile) is required. <br /> EHD 26-02.001 <br /> Page 2 of 2 Surface&Sub Checklist <br /> 7;1412003 <br />