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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 o ise and accurate dimensions of the percolation test holes on the parcel. <br /> �c' r 6� <br /> ❑ 6.2 The minimum number of shallo and d /perco atipp 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 presoa((JJc-(ninirp�gn� 12 inches). <br /> B/ El 6.4 Description of the date,time and condition of the test i after the 24-hour soak period (hole still intact, hole dry, <br /> / depth to water remaining in hole, etc.) (-119"L2 ❑ 6.5 The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2"gravel,6"water refill, correct readings <br /> ^/ recorded). �8&� <br /> LA ❑ 6.6 Complete Percolation Test Form (including readings)was provided with REHS verification signature. The rate <br /> was correctly calculated using the last rea ing. <br /> i �/o e <br /> �� ❑ 6.7 Discussion of any potential proble( ;6 prgdic andL y/o�ttg need for an engineered or alternative septic system. <br /> ❑ 6.6 Discussion of percolation rates in 1 ition)to the type,size and location of future leach fields needed at the site. <br /> 7.0 CONCLUSION SECTION <br /> P6 5) <br /> ❑ 7.1 The report was signed and stamped by the appropriately registered individ ay I `-) <br /> Reviewed By �! —i/"� Reviewed Date: 3 t S D6 <br /> EHD 26.02-003 Page 2 of 3 Soil Suilabiliry Checklist <br />