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4.1 Description of the depth and gradient of groundwater in the general area. <br /> El 85 Feet(Spring,2018) <br /> ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location <br /> of the site. <br /> • Dairies nearby <br /> ❑ 4.3 Description of location (address/APN),type and construction of well and location (well head/kitchen tap)where <br /> water sample(s)were obtained. <br /> • Nitrate-N H2O concentration: 5.43 ppm <br /> • Domestic well <br /> 4.4 Description of constituents being tested for in the water sample. <br /> FJ0 Nitrate, DBCP <br /> ❑ 4.5 Description of how sample was obtained, handled, stored,and transported to the lab. <br /> ❑ 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 /> ❑ 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 /> ❑ 0 Optimal soil for liquid waste absorption at 10 feet <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 SECTION1' <br /> ❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Reviewed By: Reviewed Date: <br /> EHD 26-02-003 Page 2 of 3 Soil Suitability Checklist <br /> 7/14/2003 <br />