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SAN JOA JIN COUNTY PUBLIC HEALCI SERVICES <br /> � <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # L./+ "DO SQ ADDRESS / �2 3 /e1W,,e-aVJc1 Drir6e. <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT 06fO APN: --� 66; <br /> gyp-�� <br /> CONDITIONS OF APPROVAL: YES NO,/ DATE SATISFIED PERMIT/SR# INITIAL <br /> GENERAL HEADING:DATE: <br /> A. <br /> S. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> I. <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 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/1N) PASS/FAIL <br />