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SAN JO;,.41JIN COUNTY PUBLIC HEA.�'H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # LA - UD - 5 ADDRESS 3070 <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT O / APN: D -;?,PO <br /> CONDITIONS OF APPRQ /No YES NO_ DATE SATISFIED PERMIT/SR# INITIAL <br /> GENERAL HEADING: DSO DATE: �v <br /> A. <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> I <br /> J. <br /> REVISED CONDITIONS (DATEICOMMENTS): <br /> f <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 /> f <br /> PERCOLATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE MINIIN PASS/FAIL <br />