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U'N SAN JOAQUIN COUNTY <br /> /'o' -+E�'�� EN�TRONMENTAL HEALTH DEPARTNITf4T <br /> 2 :Z <br /> l 304 E Weber Avenue 3`d Floor Stockton • CA 95202-2708 <br /> 4 Yli I + l (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> \dP� <br /> /moa REQUIREMENTS CHECKLIST COMMENTS <br /> PA#: 04-286 (MS) <br /> SITE LOCATION: 3443 N. ZUCKERMAN ROAD, STOCKTON <br /> REPORT DATE: 11/3/2004 <br /> nSection Comments <br /> 1.4 ✓ A more detailed map picturing the locations all wells, septic systems, and buildings is <br /> re uired. <br /> 4.3 / Information as to the type and construction of the wells where water samples were taken is <br /> re uired. <br /> 6.6 ✓ The Percolation Test forms in the report were missing a certification signature. In addition, <br /> the Percolation Test form for October 29, 2004, was not submitted. <br /> EHD 26-02-003 Page 3 of 3 Soil Suitability Checklist <br /> 7/142003 <br />