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it <br /> SAN JOAQUIN COUNTY <br /> EIV v IRONMENTAL HEALTH DEPARTNiENT <br /> � X 304 E Weber Avenue 3`d Floor Stockton ■CA 95202-2708 <br /> Y (209)468-3420 •Fax:(209)464-0138 ■ Web:www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> EELO:CATION.- 25082 N BLOSSOM RD.,THORNTON,CA PA: 0700177(MS) <br /> REPORT DATE:4/30/2008 <br /> 5 = sufficient ,1 San Joaquin County Developrpent Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> ,i <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ® ❑ 1.1 Description of site, including zoning information. <br /> E ❑;l 1.2 Description of proposed development. <br /> ® ❑ 1.3 Parcel vicinity location map. <br /> E ❑ ;. 1.4 Site map showing location of all items on parcels(i.e.,structures, drives,wells,septic systems, large trees, <br /> pastures,pools,natural drainage courses, ponds,waterways,etc.) <br /> I� 2.0 PRESENT AND PAST USES OF THE SITE SECTION <br /> ® ❑ it 2.1 Discussion of past and present uses at the site to assess potential problems. <br /> 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br /> E ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> E ❑ 3.2 Site septic permit history(numberltypes/dates of permits,age of system, permit numbers,copies in report). <br /> ® ❑ ? 3.3 Discussion of on-site septic tank repair history. <br /> E ❑ 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, <br /> proximity to parcel). <br /> E ❑ 3.5 General area septic permit history(number/types/dates of permits,age of system, permit numbers,copies in <br /> report). <br /> E ❑ :� 3.6 Discussion of general area septic tank repair history. <br /> E ❑ 3.7 Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site. <br /> ! 4.0 GROUNDWATER INFORMATION SECTION <br /> E ❑ i 4.1 Description of the depth and gradient of groundwater in the general area. <br /> ® ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location <br /> of the site. <br /> si <br /> ® ❑ a 4.3 Description of location(address/APN),type and construction of well and location(well head/kitchen tap)where <br /> water sample(s)were obtained- <br /> 0 ❑ 4.4 Description of constituents being tested for in the water sample. <br /> E ❑ „ 4.5 Description of how sample was obtained, handled,stored,and transported to the lab. <br /> E ❑ ' 4.6 Complete Chain of Custody document, including printed and signed name of third party sampler,condition of <br /> sample and date and time the sample was submitted to the lab. For Laboratory samplers,complete laboratory <br /> report to include the above noted information. <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> E ❑ 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> ® ❑ �E 5.2 Description of soil profile pit including depth and dimensions. <br /> E ❑ ' 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> E El : 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD 26-02-003 Paget of 3 Soil Suitability Checklist <br />