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SU0010729 SSNL
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SU0010729 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:43 AM
Creation date
9/5/2019 10:52:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010729
PE
2622
FACILITY_NAME
PA-1500261
STREET_NUMBER
31345
Direction
E
STREET_NAME
GROOMS
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20728004
ENTERED_DATE
12/24/2015 12:00:00 AM
SITE_LOCATION
31345 E GROOMS RD
RECEIVED_DATE
12/24/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\G\GROOMS\31345\PA-1500261\SU0010729\SS STDY.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> a' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> y: <br /> _ 1868 E. Hazelton Ave, Stockton• CA 95202-3029 <br /> ..c+ P.• (209)468-3420 • Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> Q��FOPN <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> /3y� PA#: a6/ <br /> SITE LOCATION: rfJ�!'1'�S DzREPORT DATE: <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ❑ 1.1 Description of site, including zoning information. <br /> r <br /> ❑ 1.2 Description of proposed development. <br /> g] ❑ 1.3 Parcel vicinity location map. <br /> F9 ❑ 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 /> 6''r <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 /> Z <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 /> z <br /> a❑' ❑ 3.2 Site septic permit history(number/types/dates of permits,age of system, permit numbers,copies in report). <br /> Z <br /> ❑ 3.3 Discussion of on-siitte septic tank repair history. <br /> 2 ❑ 3.4 Description of existing septic tank usage in the general area(system types, ages,functioning/repair rates, <br /> proximity to parcel). i <br /> 0 ❑ 3.5 General area septic permit(s)history(number/types/dates of permits,age of system, permit numbers,copies in <br /> report). z <br /> 0 ❑ 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�nd 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. 3 <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 obtainel. <br /> © ❑ 4.4 Description of constituents being tested for in the water sample. <br /> 3 <br /> ❑ 4.5 Description of how sample was obtained, hanng ed,stored,and transported to the lab. <br /> ❑ 4.6 Complete Chain of Custody document, inclu Iprinted 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. XIA <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> N ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. <br /> I/ <br /> 0 ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> N <br /> [�] ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> Lf <br /> ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br />
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