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�-0ii- . <br /> SAN JOAQUIN COUNTY <br /> 'n <br /> M-41 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue P Floor Stockton ■CA 95202-2708 <br /> (209)468-3420 -Fay (209)464-0138- Web:www.co.san-joaquin.ca.uS/ehd <br /> Cf pf7f?� <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION:4274 S.Hwy.99,STOCKTON PA#: 14-135(SA) <br /> REPORT DATE: 10/10/2010 <br /> S = Sufficient <br /> 1 = Insufficient q Y Development San Joaquin Count Develo Title Chapter 9-1105, Section 9-1105.2 <br /> P <br /> S I 1.0 INTRODUCTION $ PROPOSED DEVELOPMENT SECTION <br /> ® ✓ ❑ 1.1 Description of site, including zoning information. <br /> ® ✓ ❑ 1.2 Description of proposed development. <br /> ®y/ ❑ 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(numberltypesldates of pen-nits,age of system, permit numbers,copies in report). <br /> ❑ 3.3 Discussion of on-site septic tank repair history. <br /> ®yo' ❑ 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 /> ®t/ ❑ 3.7 Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> ®I✓ ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> ®i/ ❑ 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(addresslAPN),type and construction of well and location(well head/kitchen tap)where <br /> water sample(s)were obtained. <br /> 01// ❑ 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 /> ®J ❑ 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> ®J ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> ®✓ El i, 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 26-02-003 Pagel of 3 Soil Suitability Checklist <br />