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SAN J ,QUIN COUNTY PUBLIC HE. ._TH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # _�'e _ ADDRESS_�,�qO 5 ��v.r1� C m� zt5 <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT:�,,G <br /> PROGRAM ELEMENT APN: <br /> CONDITIONS OF APPROVAL: YES`NO— DATE SATISFIED PERMITlSR# INITIAL <br /> GENERAL HEADING:_ ( DATE: + 2 <br /> A. 7a : 01 <br /> B. <br /> C. : v3 <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INIT <br /> WATER RESULTS WARNING LETTER: DATE 1NIT <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/INS PASS/FAIL <br />