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SAN JOAQUIN COUNTY PUBLIC HEAL .i SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ILAND USE TRACKI <br /> J G LOG <br /> LAND USE # - ADDRESS r L DCI F�AQ rC <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT APN: Z�I-m- zv <br /> CONDITIONS OF APPROVAL: YES NO DATE SATISFIED PERMiTISR# INITIAL <br /> GENERAL HEADING: DATE: 1 <br /> A. 2 r <br /> B. I o Z ; Def <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> 1. <br /> J. <br /> REVISED CONDITIONS (DATEICOMMENTS): <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 />