Laserfiche WebLink
d ¢ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton - CA 95202-3029 <br /> P (209)468-3420 -Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: Vd i i J_ ` vt�r yrTraiL PA <br /> f REPORT DATE: Z <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient - <br /> S I 1.0 INTRODUCTION $ PROPOSED DEVELOPMENT SECTION <br /> FX1 ❑ 1.1 Description of site, including zoning information. <br /> ® ❑ 1.2 Description of proposed development. <br /> ® ❑ 1.3 Parcel vicinity locati7 map. <br /> ® ❑ 1.4 Site map showing lo&-Aion o all I# 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 /> t®. ❑ 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 /> t <br /> ❑ ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> t ❑ ❑ 3.3 Discussion of on-site septic tank repair history. <br /> ❑ ❑ 3.4 Description of existing se4tic tank usage in the general area (system types, ages,functioning/repair rates, <br /> proximity to parcel). <br /> ❑ ❑ 3.5 General area septic permit(s) history(number/types/dates of permits,age of system, permit numbers, copies in <br /> report). <br /> - <br /> ❑ El3.6 Discussion 1 of general area septic tank repair history. <br /> ❑ [j3.7 Description of proposed or expected maximum (including second unit dwellings)septic tank usage on site. <br /> r <br /> I <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> ® ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> ❑ 4.2 Description/discussion f any existing and/or potential groundwater contamination issues in the general location <br /> of the site. <br /> ❑ 4.3 Description of location (address/A P N),type and construction of well and location (well head kitchen tap)where <br /> water sample(s)were obtained. <br /> ® ❑ 4.4 Description of c ituents being tested for in the water sample. <br /> 5� ❑ 4.5 Description �ain <br /> sample was obta' dd, handled, stored, and transported to the fab. <br /> ❑ 4.6 Complete <br /> ustody docum ne t, including printed and signed name of third party sampler, condition of <br /> sample and dnd time the sample was submitted to the lab. For Laboratory samplers, complete laboratory <br /> report to i above noted information. J"_ <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> LK ❑ 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 rided from test pit by appropriate professional using industry standard protocol. <br /> ® ❑ 5.4 Discussion of soil lithology as rel ted to future onsite septic uses. <br /> EHD 26-02-003 Page.1 of 3 Soil Suitability Checklist <br /> �I <br />