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4 <br /> Y PUBLIC HEA( i SERVICES <br /> SAN JOA IJIN COUNT <br /> HEALTH DIVISION LAND USE TRACKING LOC <br /> ENVIRONMENTAL <br /> ADDRESS <br /> LAND USE # `0 <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: EP <br /> DATE STAFF AC ED REPORT: l <br /> DATE RECEIVED APN: s` <br /> PROGRAM ELEMENT 2 C) DATE SATISFIED PERMITISR# INI�L <br /> ✓ <br /> CONDITIONS OF APPROVAL:DATEE� _ <br /> 1�� <br /> GENERAL HEADING:-6- <br /> A. <br /> B. <br /> C. <br /> D. 1— <br /> F. <br /> G. <br /> H. �~ <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATEICOMMENTS): <br /> INIT� <br /> u SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INITrI <br /> WATER RESULTS WARNING LETTER: DATE INIT_ � <br /> OCCUPANCY SIGN OFF: DATE INIT_-� <br /> SURVEYOR LETTER: <br /> SAMPLING RESULTS: DBCP <br /> NITRATE ARSENIC <br /> EDB OTHER <br /> OTHER OTHER <br /> OTHER <br /> PERCOLATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE MINIIN PAS S <br /> �- <br /> ----------- <br /> 1-- <br />