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❑ 4.6 Complete Chain of Custody document, including printed and signed name of third party sampler, condition of <br /> sample and date and time the sample was submitted to the lab. For Laboratory samplers, complete laboratory <br /> report to include the above noted information. <br /> 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 /> 4 ❑ 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 /> S = Sufficient <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 /> V(� ❑ 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 /> J ❑ 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. <br /> TTCC 7.0 CONCLUSION SECTION <br /> �'iy ❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Reviewed By: �U U� Reviewed Date: Ilb <br /> EHD 26-02-003 Page 2 of 3 Soil Suitability Checklist <br /> 7/14/2003 <br />