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. 'OPgUtN CO <br /> SAN JOAQUIN COUNTY <br /> ;.r <br /> y ENVIRONMENTAL HEALTH DEPARTNI5NT <br /> •- 304 E Weber Avenue 3`d Floor Stockton • CA 95202-2708 <br /> (209)468-3420 • Far: (209)464-0138 • Web:wwNv.co.san joaquin.ca.us/ehd <br /> <<FpR <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> SITE LOCATION: 5760 S. VAN ALLEN ROAD, FARMINGTON PA#: 04-289 (MS) <br /> REPORT DATE: 5/24/2004 <br /> Section Comments <br /> 2 1 The name(s) of the person(s) who conducted the interview and the field reconnaissance is <br /> require as well as the name of the property owner who was interviewed. <br /> 3.1 Please clarify if the review of EHD records (septic) was inclusive of the file information for <br /> sites within one-quarter mile of the subject property. <br /> 5.5 Ag commissioner data, in regards to the type of agricultural chemicals utilized on the r <br /> subject property, is required. <br /> EHD 26-02-001 Page 2 of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />