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SR0079995
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079995
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Last modified
7/16/2020 1:40:05 PM
Creation date
3/27/2019 8:23:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079995
PE
2602
FACILITY_NAME
BLOCK 21 WINERY
STREET_NUMBER
21600
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01308043
ENTERED_DATE
12/17/2018 12:00:00 AM
SITE_LOCATION
21600 N DAVIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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S = Sufficient <br /> I = Insufficient <br /> S I 6.0 PERCOLATION TEST INFORMATION SECTION <br /> ❑ 6.1 Site map showing the location,with concise and accurate dimensions of the percolation test holes on the parcel. <br /> ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. <br /> LJ ❑ 6.3 Description of the date, time and protocol used to prepare the test hole, including depth and dimensions of hole, <br /> �y preparation of hole, and depth of water used to presoak(minimum 12 inches). <br /> 4� ❑ 6.4 Description of the date,time and condition of the test hole after the 24-hour soak period (hole still intact, hole dry, <br /> depth to water remaining in hole, etc.) <br /> ❑ 6.5 The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2"gravel, 6"water refill, correct readings <br /> recorded). <br /> ❑ 6.6 Complete Percolation Test Form (including readings)was provided with REHS verification signature. The rate <br /> was correctly calculated using the last reading. <br /> [ ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. <br /> ❑ 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. <br /> 7.0 CONCUTION SECTION <br /> ❑ 7.1 The report was signed and stamped b he a ro riately regi tered Pndividual <br /> VV � <br /> Reviewed By: Jeffrey Wong Reviewed Date: <br /> EHD 26-02-003 Page 2 of 3 Soil Suitability Checklist <br />
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