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SU0006503_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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2600 - Land Use Program
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PA-0700125
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SU0006503_SSNL
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Last modified
11/19/2024 3:46:25 PM
Creation date
9/9/2019 10:26:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0006503
PE
2626
FACILITY_NAME
PA-0700125
STREET_NUMBER
5484
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05516023 24 25
ENTERED_DATE
4/3/2007 12:00:00 AM
SITE_LOCATION
5484 W HWY 12
RECEIVED_DATE
4/3/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5484\PA-0700125\SU0006503\SS STDY.PDF
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EHD - Public
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S = Sufcient _ _ <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 /> 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 /> ®V ❑ 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 /> ®Y ❑ 6.5 The test conformed to SJC Policy EHD 02-02(correct depth,diameter, 2"gravel,6"water refill,correct readings <br /> / recorded). <br /> ® Y ❑ 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 /> ® Y ❑ 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 /> ®V11 ❑ 7.1 The report was signed and stamped by the appropriately registered individual <br /> Reviewed By: Michael F. Escotto Reviewed Date: l l/ 12008 <br /> E <br /> e <br /> EHD 26-02-003 Page 2 of 3 Soil Suitability Checklist <br />
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