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SU0004637 SSNL
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SU0004637 SSNL
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Last modified
5/7/2020 11:31:01 AM
Creation date
9/6/2019 10:25:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004637
PE
2622
FACILITY_NAME
PA-0400301
STREET_NUMBER
23800
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02105090
ENTERED_DATE
9/27/2004 12:00:00 AM
SITE_LOCATION
23800 N JACK TONE RD
RECEIVED_DATE
6/9/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\J\JACK TONE\23800\PA-0400301\SU0004637\SS STDY.PDF
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EHD - Public
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8�= Sufficient <br /> I = Insufficient -1 <br /> S I 6.0 PERCOLATION TEST INFORMATION SECTION <br /> i <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 /> ® ❑ <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 /> g <br /> ® ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or altemative 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: Lisa Medina, Sr. R.E.H.S. Reviewed Date: 6/9/2005 <br /> I <br /> i <br /> I <br /> i <br /> I <br /> i <br /> EHD 26-02-003 Page 2 of 3 Soit Suitability Checklist <br />
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