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SR0083913_SSNL
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2600 - Land Use Program
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SR0083913_SSNL
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Last modified
7/21/2021 3:07:20 PM
Creation date
7/21/2021 2:44:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083913
PE
2602
FACILITY_NAME
21718 N CORD RD
STREET_NUMBER
21718
Direction
N
STREET_NAME
CORD
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
023200050
ENTERED_DATE
6/29/2021 12:00:00 AM
SITE_LOCATION
21718 N CORD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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S = Sufficient <br />1 = Insufficient <br />S <br />I <br />6.0 PERCOLATION TEST INFORMATION SECTION <br />[►J <br />❑ <br />6.1 <br />Site map showing the location, with concise and accurate dimensions of the percolation test holes on the parcel. <br />E9 <br />❑ <br />6.2 <br />The minimum number of shallow and deep percolation tests was performed for each parcel. <br />❑ <br />6.3 <br />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 />D <br />❑ <br />6.4 <br />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 />❑ <br />6.5 <br />The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2" gravel, 6" water refill, correct readings <br />recorded). <br />❑ <br />6.6 <br />Complete Percolation Test Form (including readings) was provided with REHS verification signature. The rate <br />was correctly calculated using the last reading. <br />[� <br />❑ <br />6.7 <br />Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. <br />[� <br />❑ <br />6.8 <br />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: A,4�`'�f'� Reviewed Date: s,+ <br />Pana 1 of Z Q -;I c..:...�.a:... ��..,,.i,c,.. <br />
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