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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 /> ❑ ✓❑ 6.3 Description 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 /> ❑✓ ❑ 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 CONCLUSION SECTION <br /> ❑✓ ❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Reviewed By: Justin Hess (EHS) Reviewed Date: 8/21/2003 <br /> EHD 26-02-003 Page 2 of 3 <br />