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S = Sufficient I=Insufficient S I 5.0 SOIL PROFILE INFORMATION SECTION �slte ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. , (,,h [ ❑ 5.2 Description of soil profile pit including depth and dimensions. m l��m Leh"" :-2% Of tl-�C ❑ 5.3 Description of soil lithology as noted from test pit /b�y appropriate profes ional using industry standard protocol. ❑ 5.4 Discussion of soil litholo y as related tofu urree'o site s ptic� s�es� 6� Ce ►rn��,t OUR Mlokaf] dyl . 10AYn t Ova Lba 6.0 PERCOLATION TEST INFORION SECTION ❑ 6.1 Site map showing t location,with concise and a urate dimensions of the percolation test holes on the parcel. p�rcoiat- ��t mad ` ,- 0 ❑ 6.2 The mi imum number of shall w and d ep percola Ion tests was erformed for each parcel. theaow p?kC�O��fibO� �� Oh each �rcet ❑ 6.3 Description o the ate,time an prot co used to prepare the to ole, including depth and dimensions of hole, preparation of hole, and depth of water used to presoak (minimum 12 inches). ❑ 6.4 Description of the date,time and condition of the test hole after the 24-hour soak period (hole still intact, hole dry, depth to water remaining in hole, etc.) ❑ 6.5 The test conformed to SJC Policy EHD 02-02(correct depth, diameter, 2"gravel, 6"water refill, correct readings recorded). ❑ 6.6 Complete Percolation Test Form (including readings)was provided with REHS verification signature. The rate r was correctly calculated using the last reading. ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. ❑ 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. 7.0 CONCLUSION SECTION ❑ 7.1 The report was signed and stamped by the appropriately registered individual Reviewed By: Reviewed Date: 0 2344 EHD 26-03 Page 2 of 3 SOIL SUITABILITY STUDY CKLST 4/24/12