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SAN JOFluIN COUNTY PUBLIC HEA* -I SERVICES <br />ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br />LAND USE # S/4 -a- -C�-- ADDRESS 1&-).5-0 Gti% , , -1, a 1"Cd <br />SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br />DATE RECEIVED <br />DATE STAFF ACCEPTED REPORT: <br />PROGRAM ELEMENT �2L,3 .3 <br />CONDITIONS OF APPROVAL: YES ✓ NO <br />GENERAL HEADING: OY DATE: �t -:3 <br />A. y <br />B. iia:oa- <br />C. <br />D <br />E <br />F, <br />G <br />H <br />J <br />REVISED CONDITIONS (DATE/COMMENTS): <br />APN:3-/fid <br />DATE SATISFIED PERMIT/SR# INITIAL <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 <br />EDB <br />OTHER <br />OTHER <br />PERCULATION TEST RESULTS: <br />HOLE # HOLE DEPTH <br />DBCP <br />ARSENIC <br />OTHER <br />OTHER <br />PERC RATE (MIN/IN) PASS/FAIL <br />