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Pq ,N SAN JOAQUIN COUNTY <br /> ��P� ENV?tCONMENTAL HEALTH DEPARTML-TIT <br /> 304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 <br /> (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/chd <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> SITE LOCATION: 12098 N. WEST LANE, STOCKTON PA#: 05-268 (MS) <br /> REPORT DATE: 8/30/2005 <br /> Section Comments <br /> If it is at all feasible, Contac n erview) with the previous owner should be <br /> 2.1 attempted. Any pertin mation re a this report, which may be garnered from this <br /> contact i u mitted in the re uested adden <br /> 4.4 Nitrates were not reported as NO3(Page 3, Section 6) and the actual detectable limit of <br /> DBCP, as tested, was also not reported (Page 4, Section 6). Ct.*P f j <br /> 4.6 Well location information (site address) was not supplied on the Chain-of-Custody Form. <br /> 6.2 A shallow percolation test was not performed for this report as per EHD requirements (Page <br /> 4, Section 8). A shallow percolation test must be performed and all related informational <br /> data (EHD Check-off list sections 6.3 — 6.6) are to be submitted. <br /> 6.6 The signature of a certified individual is missing from the Percolation Test Forms. <br /> EHD 26-02-003 Page 3 of 3 Soil Suitability Checklist <br /> 7/14/2003 <br />