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SAN JOA4wJIN COUNTY PUBLIC HEALI SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # - - O 9 LA a° ADDRESS �Il CZO-Li ' <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: <br /> PROGRAM ELEMENT APN: 0YQ - 03Q —d 4 , <br /> CONDITIONS OF APPROVAL: YES /NO_ DATE SATISFIED PERMIT/SR# INITIAL <br /> GENERAL HEADING: DATE: <br /> MS� � <br /> A. l'v �,.�.Q C2 <br /> B. 1110 <br /> C. as <br /> D. <br /> E. <br /> F. 10 Ou <br /> G. 1. I� ' �c�o ri t?,T f- <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 /> ARSENIC <br /> EDB <br /> OTHER OTHER <br /> OTHER OTHER <br /> PERCULATION TEST RESULTS: <br /> HOLE # HOLE DEPTH PERC RATE (MIN/IN) PASS/FAIL <br />