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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES3, <br /> ENVIRONMENTAL HEALTH <br /> LAND USE # ADDRESS 15C) LAt��P,)r V_a , L bA I <br /> S & S CONTAMINATION REPORT: SR# DATE RECEIVED <br /> DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT -,?1p G(-) APN: <br /> CONDITIONS OF APPROVAL: DATE SATISFIED PERMIT/SR# INITIAL <br /> YES NO <br /> A. <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> 1. <br /> J. <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 /> PERCOLATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE (MIN/IN) PASS/FAIL <br />