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SAN IN COUNTY PUBLIC HEAL SERVICES <br />` ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # j-A-a S-qa ADDRESS-6100 5 ' v 1 of, -a j _ <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT .2 g„Q APN: <br /> CONDITIONS OF APPROVAL: YES t�NO_ DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING:�a QJDATE: 7-23 q,F <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 /> f <br /> r <br /> f <br /> SOIL SUITABILITY/NITRATE LOADING LETTER: DATE INIT <br /> WATER RESULTS WARNING LETTER: DATE INIT t. <br /> OCCUPANCY SIGN OFF: DATE INIT <br /> SURVEYOR LETTER: DATE 1 - 13-00 INIT j <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 />