Laserfiche WebLink
SAN JOS UIN COUNTY PUBLIC HEATH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # - -- a a ADDRESS 13 D <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT a�0 APN: 05 -.23c) l e3 �L Z� <br /> CONDITIONS OF APPROVAL: YES_ NOZ DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING: DATE: <br /> A. <br /> B. <br /> C. i <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. ' <br /> I <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> i <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INIT <br /> WATER RESULTS WARNING LETTER: DATE INIT <br /> OCCUPANCY SIGN OFF: DATE INIT <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} PASS/FAIL <br />