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SAN JOX—JIN COUNTY PUBLIC HEAL, SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # L A--o - ADDRESS 1 g qJq 6. /4us�j n <br /> f SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT 0100 APN: a 3 - aa.Q-p q y <br /> CONDITIONS OF APPROVAL: YES /NO- DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING:( DATE: /9`(J <br /> A. e <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> i <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 <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 PASSIFAIL <br /> i <br />