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SU0006293 SSNL
Environmental Health - Public
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SU0006293 SSNL
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Last modified
5/7/2020 11:32:16 AM
Creation date
9/5/2019 10:56:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0006293
PE
2632
FACILITY_NAME
PA-0600514
STREET_NUMBER
26955
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20911009
ENTERED_DATE
10/3/2006 12:00:00 AM
SITE_LOCATION
26955 S HANSEN RD
RECEIVED_DATE
10/3/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HANSEN\26955\PA-0600514\SU0006293\NL STDY.PDF
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EHD - Public
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S = suffciem <br /> 1 = Insufficient <br /> S 1 6.0 PERCOLATION TEST INFORMATION SECTION <br /> ® ❑ 6.1 Site map showipg the location, with concise and accurate dimensions of the percolation test holes on the parcel. <br /> ❑ 6.2 The m nim—u ' Humber of shallow and deep percolation tests was performed for each parcel. <br /> ® ❑ 6.3 Desckiption of the date, time and protocol used to prepare the test hole, including depth and dimensions of hole, <br /> preparation ('hotWnd depth of water used to presoak(minimum 12 inches). <br /> ® El 6.4 Description Ne 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.) r <br /> ® ❑ conform "i <br /> 6.5 The test ed,to SJC Policy EHD02-02(correct depth, diameter, 2" gravel, 6"water refill, correct readings <br /> recorded). t� 8/1 <br /> ® ❑ 6.6 Complete Percolation Test Form (including readings)w s provided with REPS verification signature. The rate <br /> was correctly calculated using the last reading, /,,, g <br /> ❑r ❑ 6.7 Discussion �� p))otenti I <br /> 4f4eproblems predicted and/or a need for an engineered or alternative septic system. <br /> ® ❑ 6.8 Discu io icdlation rates in relation to the type, size and location of future leach fields needed at the site. <br /> r' 5) <br /> 7.0 CON&LI ION SECTION <br /> ® ❑ 7.1 The report was signed and stamped by the appropriately r 'stared individual <br /> Reviewed Byj 46ao�ouTi�J�/ Reviewed Date: 7 a3 <br /> EHD 26-02-003 Page 2 of 3 soil Suitability Checklist <br />
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