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SU0005852_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0400492
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SU0005852_SSNL
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Last modified
10/28/2020 5:05:23 PM
Creation date
9/6/2019 10:14:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005852
PE
2611
FACILITY_NAME
PA-0400492
STREET_NUMBER
21489
Direction
E
STREET_NAME
MONDY
STREET_TYPE
LN
City
LINDEN
APN
18332021, 67, &
ENTERED_DATE
12/28/2005 12:00:00 AM
SITE_LOCATION
21489 E MONDY LN
RECEIVED_DATE
12/27/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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FilePath
\MIGRATIONS\M\MONDY\21489\PA0400492\SU0005852\NL STDY.PDF
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EHD - Public
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S Sufficient v `� <br /> 1 = Insufficient <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 SECTION <br /> ® ❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Reviewed By: Michael F. Escotto Reviewed Date: 1/12/2005 <br /> a <br /> EHD 2&OM03 Page 2 of 3 Soil Suitability Checklist <br />
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