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SAN JOf JIN COUNTY PUBLIC HEAR SERVICES <br /> ENVIRONMEN i- L HEALTH DIVISION LAND 6,61E TRACKING LOG <br /> LAND USE #- 4 14 ADDRESSZ/7yO <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT �6 q0 APN: --T -1 <br /> CONDITIONS OF APPROVAL: YES ✓ NO_ DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING: Oq DATE: <br /> A. <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): / -31- 00 Ate) c- <br /> evj <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 /> PERCOLATION TEST RESULTS: k <br /> HOLE # HOLE DEPTH PERC RATE-(MIN/IN) PASS/FAIL <br />