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SR0084725_SSNL
Environmental Health - Public
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FOREST LAKE
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2600 - Land Use Program
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SR0084725_SSNL
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Last modified
2/10/2022 9:25:54 AM
Creation date
2/9/2022 10:52:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084725
PE
2602
STREET_NUMBER
3067
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00537002
ENTERED_DATE
1/13/2022 12:00:00 AM
SITE_LOCATION
3067 E FOREST LAKE 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 />IN <br />I 6.0 PERCOLATION TEST INFORMATION SECTION <br />�/ ■ <br />►_I ■ <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: A.,t S t� (0a"'" <br />14 tea Reviewed Date: z -I Z 1Z Z <br />EHD 26-02-003 Page 2 of 3 Soil Suitability Checklist <br />
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