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pau, SAN JOAQUIN COUNTY <br /> IRONMENTAL HEALTH DEPARTI,*.. NT <br /> 304 E Weber Avenue 3`a Floor Stockton-CA 95202-2708 <br /> (209)468-3420-Fax:(209)464-0138 ■ Web:www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: 4065-4080 E. CALLOWAY COURT, STOCKTON PA#: 06-313(SA) <br /> i REPORT DATE: 3/28/2007 <br /> S = Insufficient Sufficient <br /> ffcient <br /> I San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> e <br /> i S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ® fl' 1.1 Description of site, including zoning information. <br /> ® 4;1-- 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 /> 2.0 PRESENT AND PAST USES OF THE SITE SECTION <br /> V -4 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 /> ® {�— 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> ® 3.2 Site septic permit history(numberltypesldates of permits,age of system, permit numbers,copies in report). <br /> ® 3.3 Discussion of on-site septic tank repair history. <br /> .-8- 3.4 Description of existing septic tank usage in the general area(system types, ages,functioning/repair rates, <br /> proximity to parcel). <br /> ® G 3.5 General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). <br /> ® 3.6 Discussion of general area septic tank repair history. <br /> ® -B 3.7 Description of proposed or expected maximum (including second unit dwellings)septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> 4.1 Description of the depth and gradient of groundwater in the general area. <br /> ® f-} 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> ® {�- 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 /> ® �� .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 /> ® 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 /> -� 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> ® 5.2 Description of soil profile pit including depth and dimensions. <br /> ® �]` 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> ® EF 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD26-02-003 Pagel of3 Soil Suitability Checklist <br />