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SAN JC"UIN COUNTY PUBLIC HEAmtfH 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 ? ! 33 APN: <br /> CONDITIONS OF APPROVAL: YES ✓ NO DATE SATISFIED PERMIT/SR# <br /> GENERAL HEADING: O(L DATE: INITIAL <br /> A. � . 0 If:! e--i, I(() <br /> B. Sp /�.00 f W�Z <br /> C. . { 2 cotS(e rg <br /> D. ll.'O 5 VIV, (� <br /> E. ,5 f E i e r-j - <br /> F. �nA <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/IN) PASS/FAIL <br />