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i <br /> SAN JO-4UIN COUNTY PUBLIC HEA_a H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> I LAND USE # ADDRESS <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT; SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT APN:_'1 - IVO ; <br /> CONDITIONS OF APPROVAL: YES, NODI DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING: 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): <br /> I <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE <br /> 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 /> I <br />