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SU0008067 SSNL
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SU0008067 SSNL
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Last modified
5/7/2020 11:33:20 AM
Creation date
9/5/2019 11:17:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0008067
PE
2631
FACILITY_NAME
PA-1000007
STREET_NUMBER
17266
Direction
N
STREET_NAME
HILLSIDE
STREET_TYPE
DR
City
LODI
APN
05324005
ENTERED_DATE
1/25/2010 12:00:00 AM
SITE_LOCATION
17266 N HILLSIDE DR
RECEIVED_DATE
1/25/2010 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\H\HILLSIDE\17266\PA-1000007\SU0008067\NL STDY.PDF
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EHD - Public
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SAN JOAQUIN COUNTY " <br /> ENVIRONMENTAL HEALTH DEPARTM8NT <br /> 304 E Weber Avenue 3'd Floor Stockton• CA 95202-2708 <br /> l (209)468-3420-Fax. (209)464-0138• Web.www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: 17266 N.HILLSIDE DR.,LORI <br /> PA#: 10-07 SA <br /> f ) <br /> REPORT DATE:3/22/2010 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> S I 01.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ®� ❑ 1.1 Description of site, including zoning information. <br /> ®� ❑ 1.2 Description of proposed development. <br /> ®J/ ❑ 1.3 Parcel vicinity location map. <br /> N✓ ❑ 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 /> N/ ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> M/ ❑ 3.2 Site septic permit history(number/typesldates of permits,age of system, permit numbers,copies in report). <br /> N/ ❑ 3.3 Discussion of on-site septic tank repair history. <br /> N 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, <br /> proximity to parcel). <br /> N ✓ ❑ 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 /> N V ❑ 3.7 Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> N V ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> N Ll ❑ 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 /> N ❑ 4.4 Description of constituents being tested for in the water sample. <br /> N✓ ❑ 4.5 Description of how sample was obtained, handled,stored,and transported to the lab. <br /> N✓ ❑ 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. J] <br /> EHD 26-02-003 Page 1 of 3 Soil Suitability Checklist <br /> // 7F�•1An� <br /> 1� <br />
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