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SAN JO ,rcUIN COUNTY PUBLIC HEA SERVICES <br /> SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # - g ADDRESS_ <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT 00 _ / APN: 055_"_ d 7 -� dk <br /> CONDITIONS OF APPROVAL: YES✓NO_ DATE SATISFIED PERMIT/SR# INITIAL <br /> GENERAL HEADING: DATE: i I <br /> 6U <br /> B. L1 l i l 4t � til <br /> C. a 5 c) <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> SOIL SUITABILITYINITRATE 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 <br /> IFAiL <br /> l <br />