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SU0004272 SSNL
Environmental Health - Public
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SU0004272 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:36 AM
Creation date
9/6/2019 10:48:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004272
PE
2632
FACILITY_NAME
PA-0300116
STREET_NUMBER
11515
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/17/2004 12:00:00 AM
SITE_LOCATION
11515 W LARCH RD
RECEIVED_DATE
4/1/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LARCH\11515\PA-0300116\SU0004272\NL STDY.PDF
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EHD - Public
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S = Sufficierlt <br /> I = Insufficient <br /> S I 6.0 PERCOLATION TEST INFORMATION SECTION <br /> B— ❑ 6.1 Site map showing t9locat'on,with concise and accurate dimensions of the percolation test holes on the parcel. <br /> G) <br /> a ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parc P8�D <br /> ® ❑ 6.3 Description of the date, time and protocol used to prepare the test hole, includi g depth and dimensions of hole, <br /> preparation of hole, and depth of water used to presoak(minimum 12 incheskgs) <br /> 9 ❑ 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.r"5 ) <br /> ® ❑ 6.5 The test conformed to SJC Policy E D 02-02 (correct depth, diameter,2"gravel,6"water refill, correct readings <br /> recorded). fir s)1 <br /> a El 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 potentialpottlems predicted and/or the need for an engineered or alternative septic system. <br /> ® ❑ 6.8 Discuss' n o percolation r s 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: 405 �! ���✓b� Reviewed Date: <br /> END 26-02-003 Page 2 of 3 Soil Suitability Checklist <br />
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