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S surrIcient-W <br /> 1 = Insuflicicnt , <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 /> 0 ❑ 6A 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 /> ❑✓ 0 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 SECTION <br /> ❑✓ ❑ 7.1 The report was signed and stamped by`the appropriately registered individual <br /> Reviewed By: Lisa Medina, Sr. REHS Reviewed Date: 9/25/2003 <br /> Ettozb-O W Page-2 of <br /> M4=03 <br />