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SU0011280_SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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22420
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2600 - Land Use Program
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PA-1600194
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SU0011280_SSNL
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Last modified
11/19/2024 1:52:20 PM
Creation date
9/8/2019 12:55:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011280
PE
2626
FACILITY_NAME
PA-1600194
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
3/23/2017 12:00:00 AM
SITE_LOCATION
22420 N HWY 99
RECEIVED_DATE
3/21/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\22420\PA-1600194\SU0011280\SS_NL STDY .PDF
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EHD - Public
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S = Sufficient <br /> I=Insufficient <br /> S 1 5.0 SOIL PROFILE INFORMATION SECTION <br /> [�'/ ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. <br /> ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> —/ 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 /> Lid ❑ 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 /> LJ�/ ❑ 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 si ned and tamped by the appropriately registered individual <br /> � A ,CIX <br /> Reviewed By: Reviewed Date: <br /> r/ <br /> EHD 26-03 Page 2 of 3 SOIL SUITABILITY STUDY CKLST <br /> A11A119 <br />
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