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SR0083016_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0083016_SSNL
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Last modified
3/9/2021 4:58:33 PM
Creation date
3/9/2021 4:50:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083016
PE
2602
FACILITY_NAME
IDA HANDEL
STREET_NUMBER
16696
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05112042
ENTERED_DATE
12/15/2020 12:00:00 AM
SITE_LOCATION
16696 N LOCUST TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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 /> I ❑ 6.1 Site map showing the location,with concise and accurate dimensions of the percolation test holes on the parcel. <br /> 2 ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. <br /> Hr ❑ 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 /> L? ❑ 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 /> 19 ❑ 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 /> Q ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. <br /> r <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: *V fr T." �� Reviewed Date: <br /> Pana 7 of'l c^;l c..:...�.n:...��.,.a,c,.. <br />
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