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SAN JOAQUIN COUN' 1/3/00 y 2.. ENV-M<ONMENTAL HEALTH DE Q: z� 7' d 304E Weber Avenue 3`d Floor Stockton •j "s (209)468-3420 • Fax:(209)464-0138 • Web:www �� - -�^ h � . 'P i SOIL SUITABILITY STUDY REQUIRES �p-i SITE LOCATION: (3?7 / f..tf� ! c.7oz<, ``�, �,- u.1 7 �6 �- /d� �, Wim? = Insufficient= Sufficient I San Joaquin County Development Title Chapter 9-1105,SCIA-'Lo S I 1.0 INTRODUCTION & PROPOSED DEVELOPM 19 ❑ 1.1 Description of site, including zoning information. 9 ❑ 1.2 Description of proposed development. pe ❑ .!5� 1.3 Parcel vicinity location map Z;-% `e eot' ❑ 1.4 Site map showing location of all items on parcels (i.e., structures, drives,wells, septic system"arge trees, —/ pastures, pools, natural drainage courses, ponds, waterways, etc.) 2.0 PRESENT AND PAST USES OF THE SITE SECTION ❑ 2.1 Discussion of past and present uses at the site to assess potential problems.'` - -� 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION ❑ 3.1 Description of exiting on-site septic tank usage (system types, age,functioning/repair rates). ❑ 3.2 Site septic permit history(number/types/dates of permits,age of system,permit numbers, copies in report). .® ❑ 3.3 Discussion of on-site septic tank repair history. , ❑ 3.4 Description of existing septic tank usage in the general area(system types, ages,functioning/repair rates, proximity to parcel). ❑ 3.5 General area septic permit history (number/types/dates of permits, age of system, permit numbers, copies in report). ❑ 3.6 Discussion of general area septic tank repair history. ❑ 3.7 Description of proposed or expected maximum (including second unit dwellings)septic tank usage on site. 4.0 GROUNDWATER INFORMATION SECTION ❑ 4.1 Description of the depth and gradient of groundwater in the general area. ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location of the site. ❑ 4.3 Description of location (address/APN), type and construction of well and location (well head/kitchen tap)where water sample(s)were obtained. ❑ 4.4 Description of constituents being tested for in the water sample. U\L®- 4.5 Descrip of how sample was obtained, handled, stored, and'transport ed to thelab.'A' � ' :ril .. /�;f. {. �.- .9 Zr6%4 rice. 4.6 Complete Chain offustody document, including printed and si ned n me of tr party sampler, condition of sample and date and time the sample was submitted to the lab. For Laboratory samplers,complete laboratory report tq jrtGlude the above noted information. 5.0 SOIL PROF(&INFORMATION SECTION �Ff ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. ❑ 5.2 Description of soil profile pit including depth and dimensions. ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. EHD 26-02-003 Pagel of 3 Soil Suitability Checklist