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SAN JOAwUIN COUNTY PUBLIC HEAL-,A SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE #�jiP- 19 /I (P(L:L oIIGv "DDRESS )a01 6 -fiee-yh (11n AIJ AIk� <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT_ APN: /"7'Z-/P2D,3/ <br /> CONDITIONS OF APPROVAL: YES✓ NO_ DATE SATISFIED PERMIT/SR# INITIAL <br /> GENERAL HEADING: �I� DATE: 1 gq <br /> A. lI , 0`I <br /> B. ll,-05 <br /> C. )/, 03 <br /> D. a s O g l 1 �f 6o r� �;� s <br /> E. 10Q; 02 <br /> F. / 0a : o5 <br /> G. 15 : 01 <br /> H. <br /> I. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <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) PASS/FAIL <br />