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SAN JOK-41.11N COUNTY PUBLIC HEAC� SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # ADDRESS <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT 2 APN: 10-3-70- 01,061, 87'3 0 °? <br /> CONDITIONS OF APPROVAL: YES NO DATE SATISFIED PERMITISR# INITIiL� <br /> GENERAL HEADING: DATE: S <br /> A. <br /> B. <br /> C. <br /> E <br /> D. _ <br /> E. <br /> F <br /> G. <br /> i <br /> H. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): E <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INIT <br /> WATER RESULTS WARNING LETTER: DATE IN1T <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 /> w <br />