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t'-ll� r <br /> SAN J0,,%MN COUNTY PUBLIC HEA_a"H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION LAND USE TRACKING LOG <br /> LAND USE # L)q-9iq-A/ ADDRESS 111 123 I3 5 1,61w, R;v ,rwa„vd Die <br /> SURFACE - SUBSURFACE CONTAMINATION REPORT: SR# <br /> DATE RECEIVED DATE STAFF ACCEPTED REPORT: 33 <br /> c2 �� APN: D S -5480 YTS' °�s yo_ i , <br /> PROGRAM ELEMENT <br /> ---QHS-S Ste- �y' <br /> CONDITIONS OF APPROVAL: YES_ NOS/ DATE SATISFIED PERMITISR# INITIAL <br /> GENERAL HEADING: DATE: 1 R <br /> A. <br /> B. <br /> C. <br /> D. <br /> E. <br /> F. <br /> G. <br /> H. <br /> 1. <br /> J. <br /> REVISED CONDITIONS (DATEICOMMENTS): <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 />