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SU0003887 SSNL
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SU0003887 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:14 AM
Creation date
9/5/2019 11:16:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003887
PE
2622
FACILITY_NAME
PA-0300332
STREET_NUMBER
9249
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20707013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9249 S HENRY RD
RECEIVED_DATE
7/15/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\9249\PA-0300332\SU0003887\SS STDY.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> z\ EN1RONMENTAL HEALTH DEPARTMM NT <br /> 304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 <br /> (209)468-3420• Fac:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> PA#: 03-332 <br /> SITE LOCATION: 9345 SOUTH HENRY ROAD, FARMINGTON <br /> REPORT DATE: Nov. 20, 2003 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> 1 = Insufficient <br /> S 1 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ® ❑ 1.1 Description of site, including zoning information. <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 /> ® ❑ 3.1 Description of exiting on-site septic tank usage (system types, age, functioning/repair rates). <br /> ® ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> ® ❑ 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 contamination 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 /> ® ❑ 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 /> ® ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD 2602-003 Page I of 3 Sod Suiobdiry Checklist <br />
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