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SAN JOAQUIN COUNTY <br /> y PUBLIC HEALTH SERVICE;.— <br /> ENVIRONMENTAL HEALTH <br /> LAND USE #_Q --S( ADDRESS _ f JCd /�!_. frurr� %�e• <br /> S & S CONTAMINATION REPORT: SR# DATE RECEIVED <br /> DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT APN: <br /> CONDITIONS OF APPROVAL: DATE SATISFIED PERMIT/SR# INITIAL <br /> YES ✓ NO _A. o g/cam, :�: -____ <br /> B. }1 U G_�6 6 <br /> C. <br /> D. <br /> E. <br /> F. Q(D. oq�- <br /> G. <br /> H. <br /> I. <br /> J. <br /> S!lL��IT NITRATE LOADING LETTER: DATE } /�j � INIT <br /> WATER RESULTS WARNING LETTER: DATE INIT <br /> OCCUPANCY SIGN OFF: DATE t5 INIT__J;Z <br /> SURVEYOR LETTER: DATE INIT <br /> SAMPLING RESULTS: <br /> NITRATE DBCP <br /> EDB ARSENIC <br /> OTHER OTHER <br /> OTHER OTHER <br /> PERCULATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE (MIN/IN) PASSIFAIL <br />