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SAN JOA _JIN COUNTY PUBLIC HEAL i SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND ME TRACKING LOG <br /> LAND USE # ADDRESS <br /> SURFACE — SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED _ L a0 —99 DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT oZ Ear � _ APN: -) V1 - 'Y " 3� <br /> CONDITIONS OF APPROVAL: YESij/ NO! DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING: DATE: <br /> A. _ iI 02 d s <br /> B. <br /> c. <br /> D. <br /> E. 1 <br /> F. <br /> G. <br /> H. <br /> 1, <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INIT <br /> WATER RESULTS WARNING LETTER: DATE INIT <br /> OCCUPANCY SIGN OFF: DATE jQ91 C[-) 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 />