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e <br /> SAN JOQ�IIN COUNTY PUBLIC HEALr�j SERVICES <br /> 3 ENVIRONMENTAL HEALTH DIVISION LAND US'E TRACKING LOG <br /> LAND USE # � _-G'Q -(,_ ADDRESS , <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT QLgO APN: - <br /> .� CONDITIONS OF APPROVAL: YES ✓NO_ DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING:_ DATE: <br /> A. ! a <br /> Ei <br /> B. <br /> I C. <br /> E <br /> D. <br /> E. f <br /> ' F. I <br /> G. <br /> ES H. <br /> J. <br /> .1 REVISED CONDITIONS (DATE/COMMENTS): <br /> i <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 j <br /> � SAMPLING RESULTS: <br /> NITRATE DBCP <br /> EDB ARSENIC <br /> OTHER OTHER <br /> ,I <br /> OTHER OTHER <br /> PERCOLATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE (MIN/IN) PASS/FAIL <br /> it <br /> r <br />