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SAN JO)- eUIN COUNTY PUBLIC HEATH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # L - - ADDRESS <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT �(;- q(D APN: 06!_ f/ - 5 <br /> CONDITIONS OF APPROVAL: YES NO_Z DATE SATISFIED PERMITISR# INITIAL <br /> G YRAL HEADING: )`7 DATE: if J! I X19 <br /> A. ►� -r. I. rxos s get <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> 1. <br /> J. <br /> REVISED CONDITIONS (DATE/COMMENTS): <br /> SOIL SUITABILITYINITRATE 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 />