SU0006491 SSCRPT - Laserfiche WebLink

Home Browse Search

YV SAN JOAQUIN,COUNTY ENVIROi`IMENTAL HEALTH DEPARTMENT 304 E Neter Avenue 3`1 Floor Stockton•CA 95202-2708 (2.09)458-3420•Fay:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd SURFACE AND SUBSURFACE CONTAMINATION REPORT REQUIREMENT CHECKLIST SITE LOCATION: 6 {{J (zo - -- REPORT DATE: 5 = Su I Insofftf iccirnt San Joaquin County Development Title Chapter 9-905,Section 9-905.12 � i I S I 1.0�INTRODUCTION S PROPOSED DEVELOPMENT SECTION 1.1 1 Description of site(report must address all parcels),including current and/or proposed zoning informalion./,y ❑ 1.2 I Description of proposed development. ❑ 1.3 Parcel location map.Arp-1 f— ❑ 1A Site map showing location of all items on parcel. (Examples:structures,drives,wells,septic systems,large trees, pastures,pools,natural drainage courses,ponds,waterways,etc_)Arr,4,,,d,- 2.Oi PAST, PRESENT AND PROPOSED FUTURE USES OF THE SITE SECTION r7-1 2.1 Discussion of past,present and proposed future uses at the site to assess potential problems. (Example sources r of information:current andlor previous property owners,Historical maps,irmurance maps,previous land use applications,etc.) 6 1 3.0 IDENTIFICATION OF ALL PAST AND CURRENT SOURCES OF CONTAMINATION i 3.1 Discussions of the methods used to research and investigate the potential or known above and belowground sources of contamination at the project site. (Examples: Database search,EHD records search,agricultural chemical application search,site reconnaissance and survey,et(,-)?,*-/ 3.2 Description of all past on-site potential and/or known above and below ground sources of contamination identified at the project site. (Examples: Agricultural chemical handtingfstorageluse,aboveground underground tanks, septic systems,injection wels,unsealed wells,ponds/lagoons,vehicle/machine repair/painting,buried or stockpiled solid waste etc. 1 /--1. © ❑ 3.3;; Description of ail current on-site potential and/or known above and below ground sources of contamination I identified at the project site(see examples above.)fp, EJ3.4 Description of all past off-site potential and/or known above and below ground sources of contamination identified in the area of the project site that has or may impact the project site- (Examples: Close proximity to a former landfilllformer gasoline station,in area of known DBCP/Nitrate groundwater impact,etc_) P 2 ❑ 3_S Description of all current off-site potential and/or known above and below ground sources of contamination identified in the area of the project site. P�, z- 4.0 EVALUATION OF PAST AND CURRENT SOURCES OF CONTAMINATIO IDENTIFIED AT OR NEAR THE SITE AND RECOMMENDATIONS FOR FURTHER ACTION M ❑ 4.1 Evaluation of each potential and/or known source of contamination identified(in the above section)for any real and/or potential threat to human health and the environment. This evaluation should take into consideration the E proposed future uses of the project parcel. O 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION 5.11 Discussion of the above evaluation to either rule out each source as a real or potential threat or to recommend further action to mitigate or abate any real or potential threats identified. Recommendations may include additional site assessment(i.e.collection of soil rater samples)andlor mitigative measures(i.e.,dean up of surface wastes). All recommendations for future work must include a%me frame for implementation.Pa 2- S..2. The report was inclusive(i.e.all information referenced was included in this report-=.report should not reference other reports). 3 5.3 The report was signed,dated and stamped by a qualified erniuonmentat professional. n 5.4 The report was prepared within six months of the date of the submittal of the land use application. 3 5.5 The anachmentslappendices oontain sufficient documentation to support claims made in report. I Reviewed By: Reviewed Date: EHO U4 0?-oOt Page 1 of 2 Surface k sub CkckGst 7!141!003