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SU0004677 SSNL
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SU0004677 SSNL
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Last modified
5/7/2020 11:31:06 AM
Creation date
9/9/2019 10:21:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004677
PE
2622
FACILITY_NAME
PA-0400614
STREET_NUMBER
7663
STREET_NAME
STOW
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
18310003
ENTERED_DATE
10/22/2004 12:00:00 AM
SITE_LOCATION
7663 STOW AVE
RECEIVED_DATE
10/18/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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\MIGRATIONS\S\STOW\7663\PA-0400614\SU0004677\SS STDY.PDF
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EHD - Public
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SAN JOAQUIN COUNTY ... <br /> f ENVIRONMENTAL HEALTH DEPARTMENT <br /> i 304 E Weber Avenue 3rd Floor Stockton- CA 95202-2708 <br /> (209)468-3420-Fax:(209)464-0138- Web:www.co.san-joaquin.ca.us/ehd <br /> f: Joa 9 <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: �� � � / - � . , i l ( PA#: _ <br /> REPORT DATE: <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient 9 tY P <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ❑r ❑ 1.1 Description of site,including zoning information. <br /> ❑ 1.2 Description of proposed development. <br /> F1 ❑ 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 existing on-site septic tank usage(system types,age,functioning/repair rates). 1-"I-e V �r <br /> ❑ 3.2 Site septic permit history(number/types/dates of permits,age of system,permit numbers,copies in report). <br /> 0 ❑ 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 /> T ❑ 3.5 General area septic permit history(number/types/dates of permits,age of system,permit numbers,copies in <br /> T report). <br /> 11n en 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.IE <br /> ❑ 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> C71 F_] 4.3 Description of location(address/APN),type and constructionell d 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 timo the samplo was submitted to the lab. For Laboratory samplors,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 /> lr" I ❑ 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 26-02-003 Page 1 of 3 <br /> 7/14/2003 <br />
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