Laserfiche WebLink
v4 t SAN JOAQUIN COUNTY <br /> '" A ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> h.� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> FFSITELOCATION: ! lV �h� ,�'t( uC.. 1 T"1 °�y1, PA#: , /O U 2-Z G7 <br /> v REPORT DATE: 3 ( 0 1_7� <br /> = Sufficient <br /> I = Insufficient <br /> San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> S / I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> Ly ❑ 1.1 Description of site, including zoning information. A L� u{-U <br /> ❑ 1.2 Description of proposed development. <br /> ❑ 1.3 Parcel vicinity location map. <br /> ❑ 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 /> ❑ 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 /> Ly' ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> D--�/ ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> Ly ❑ 3.3 Discussion of on-site septic tank repair history. <br /> [� ❑ 3.4 Description of existing septic tank usage in the general area(system types, ages,functioning/repair rates, <br /> proximity to parcel). <br /> ❑ 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 /> ❑ 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 /> ❑ 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 /> [VJ/ ❑ 4.4 Description of constituents being tested for in the water sample. <br /> ❑ 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 /> L� ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EIID 26-02-003 Page 1 of 3 Soil Suitability Checklist <br />