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SU0003965 SSNL
Environmental Health - Public
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SU0003965 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:26 AM
Creation date
9/6/2019 10:39:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003965
PE
2622
FACILITY_NAME
PA-0200086
STREET_NUMBER
21461
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
APN
05322003
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
21461 E KETTLEMAN LN
RECEIVED_DATE
3/22/2002 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\21461\PA-0200086\SU0003965\SS STDY.PDF
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EHD - Public
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S = Sufficient <br /> I = 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 /> J� ❑ 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: Lisa Medina, Sr. R.E.H.S. Reviewed Date: <br /> ceo step` caGi..-c.G .LS.Ce,C/ Ccs` <br /> c�s3-aav oa /I,oiy os�daoz�5.�� <br /> F,KD 26-02-003 Pa2 of 3 <br /> !;e Soil Suitability Checklist <br />
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