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SU0004249_SSNL
EnvironmentalHealth
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88 (STATE ROUTE 88)
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2600 - Land Use Program
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PA-0300270
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SU0004249_SSNL
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Entry Properties
Last modified
11/20/2024 9:22:00 AM
Creation date
9/4/2019 6:21:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004249
PE
2632
FACILITY_NAME
PA-0300270
STREET_NUMBER
18945
Direction
E
STREET_NAME
STATE ROUTE 88
City
CLEMENTS
ENTERED_DATE
5/14/2004 12:00:00 AM
SITE_LOCATION
18945 E HWY 88
RECEIVED_DATE
6/19/2003 12:00:00 AM
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\E\HWY 88\18945\PA-0300270\SU0004249\NL STDY.PDF
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EHD - Public
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i <br /> 5 = Sufficient <br /> 1 — Insufficient I <br /> I� <br /> S I 6.0 PERCOLATION TEST INFORMATION SECTION <br /> ❑ ✓❑ 6.1 Site 1 ap showing the location,with concise and accurate dimensions of the percolation test holes on the parcel. } <br /> _,— -If <br /> 0 ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. <br /> 11 <br /> ✓❑ ❑ 6.3 Descr"iption of the date,time and protocol used to prepare the test hole, including depth and dimensions of hole, <br /> preparation of hole,and depth of water used to presoak(minimum 12 inches). <br /> 0 ❑ <br /> 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 .Discu`ssion 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 CONCLUSION SECTION <br /> ❑ ✓❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Ij Lisa Medina Sr. R.E.H.S. 12/11/2003 <br /> Reviewed By: Reviewed Date: <br /> iI <br /> �I <br /> i <br /> I� <br /> 'i <br /> I� <br /> ii <br /> i{ 1 <br /> EHD 26-02-003 Page 2 of 3 ' <br /> 7/14/2003 <br /> I <br /> I <br />
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