Laserfiche WebLink
SAN-2JOAQUIN Environmental Health Department <br /> �3 �s <br /> --COUNTY-­- <br /> Greatness <br /> -COUNTY_­_Greatness grow=s here. <br /> PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br /> S.iC Ordinance Code,Title 9,Section 9-1105.2 <br /> EHD Policy for Percolation Test Procedure 98-01 <br /> Site Location: ) j Date: <br /> Test Performed b Permit#: PA#; <br /> SITE MAP <br /> Includes perc test and soil profile locations with accurate measurements from a fixed reference point(must be able to locate <br /> the test hole areas in the future). Perc/soil profile holes must meet distance setbacks as noted in the sewage standards for <br /> septic system locations. Percolation test holes and soil profile pits must be conducted in the area proposed for future septic <br /> systems. <br /> {-, 1 Notes anchanges in elevation on the subject property. <br /> X i Notes all water wells. <br /> Notes all man-made features(septic systems drives bams outbuildings, animal pens, etc,) <br /> Notes all natural features(ephemeral draina a courses, large stands of trees,ponds, rivers,etch <br /> 11 PERC TEST PREPARATION PROTOCOL <br /> v' , Date and time of test hole preparation. j 2.�jS.-36',42 <br /> zo <br /> t iameter and depth of test hol 4"'12"diameter an "depth), 7U_-- r;o le- <br /> j Dimensions and depth of deep test hole 4"-12"diameter and 42'-25'or minimum 10'above seasonal high water table). <br /> L---i'Test hole preparation(scoring of sidewalls, removal of loose material). <br /> \,, Weather conditions at time of testing(raining, windy, et.) �L."O-a <br /> Soil type-and condition encountered in test hole. .5; i i1 tyn <br /> v'Addition of 2"of course sand or fine gravel to test hole. <br /> Pre-soak by addition of minimum 12"of water over gravel(24-hours before test). _ <br /> PERC TEST CONDITIONS, MEASUREMENTS AND REPORTING <br /> ondition of test hole after the 24-hour re-soak amount of water remaining in the hole,any soil sloughing noted'. <br /> Correct amount of water used to refill hole If over gravel). Documented on the recordation sheet 3,,, . <br /> Descrition of type of perc test procedure used based on conditions Procedure <br /> Accurate recordings of drop and refill of water in same measurements. <br /> i <br /> Same fixed reference point used for each reading. Description of reference point used to be included in the final report. <br /> Math calculations checked for accuracy. <br /> Beginning and end measurements of the last reading verified by REHS.All above reviewed and verified b REHS. <br /> SOIL PROFILE _ _ <br /> '-Description of the date,time, and protocol used to_prepare sol!profile pit. -� <br /> Descri tion of soil rofiile pit including depth and dimensions. <br /> Soil lithology described by appropriate rofessional using industry standard protocol. <br /> CO CP <br /> COMMENTS 1 �, t Lt?ir-� /rG�" . - j+�}I ,;n_L <br /> i� I r <br /> ja c,:4'-b rt n,04 <br /> /t✓-i !`S�t± i °!✓odic . l !fit :;4- <br /> R E H <br /> REHS Name: ) , o-, ' i24ejlL�' I <br /> Caiculations Example <br /> Last drop reading=.07'over 30 minutes time. I Last drop reading=1.2'over 10 minutes time <br /> i 07'x 12"_.84"(convert from feet to fines) <br /> 1.2'x 12"=14.4'(Convert from feet to inc)es) <br /> 30 minutes-.84*=35.7 minutesinch 10 minutes-14.4"=.69 mfiutes.1inch <br /> —HL 4200—xx 8-1'018 <br /> 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />