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<br /> 304 E Weber Avenue 3`d Floor Stockton • CA 95202-2708
<br /> (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd
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<br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST
<br /> ELOCA:TION: 18327 E. ST RTE. 88, CLEMENTS, CA PA#: 03-569
<br /> REPORT DATE: APRIL, 2405
<br /> 5 = sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2
<br /> I = Insufficient
<br /> I
<br /> S I .0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION
<br /> El �.1 Description of site, including 9 zonin information.
<br /> ® ❑ 1.2 Description of proposed development.
<br /> I
<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 /> ❑ �2.11 Discussion of past and present uses at the site to assess potential problems.
<br /> 3,0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION
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<br /> ❑ FT""3.1 Description of exiting ori-site septic tank usage (system types, age,functioning/repair rates). i
<br /> ❑ [3.2 Site permit septic histo number)
<br /> p p history( iypesldates of permits,age of system, permit numbers,copies in report),
<br /> i
<br /> ❑ 0-__"3.3 Discussion of on-site septic tank repair history.
<br /> ❑ EkX3.4 Description of existing septic tank usage in the general area (system types, ages,functioninglrepair rates,
<br /> proximity to parcel).
<br /> ❑ �3.5 General area septic permit history(numberltypesldates of permits, age of system, permit numbers,copies in
<br /> report).
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<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 /> 7,6-- �ri%X�.-c? . �fClrGyz3
<br /> 4.0 GROUNDWATER INFORMATION SECTION
<br /> ❑ ®
<br /> 4.1 Description of the depth and gradient of groundwater in the genera!area:
<br /> ❑ [D,-14.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location !
<br /> of the site. ,Q�'— s-;cr.,rt
<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 to t_ed for in the water sample.r��"' ,-)
<br /> —' 4.5 Description of how sample was obtained, hanf stored,and transportehe b�
<br /> ® !� 4.6 Complete Chain of Custody document,including panted na r+ 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.y�9
<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 /> ® ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses.
<br /> RHD 26-02-003 Page 1 of 3 Soil Suitability Checklist
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