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SR0082179
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082179
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Last modified
7/1/2020 2:16:26 PM
Creation date
7/1/2020 1:54:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082179
PE
4222
FACILITY_NAME
25723 S ELLIS AVE
STREET_NUMBER
25723
Direction
S
STREET_NAME
ELLIS
STREET_TYPE
AVE
City
TRACY
Zip
95377
APN
24013007
ENTERED_DATE
6/11/2020 12:00:00 AM
SITE_LOCATION
25723 S ELLIS AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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/C1UIN <br /> SANJOAQUIN Environmental Health Department <br /> Ln <br /> COUNTY <br /> cP Greatness grows here. <br /> PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br /> SJC Ordinance Code,Title 9,Section 9-1105.2 <br /> EHD Policy for Percolation Test Procedure 98-01 <br /> Site Location: 2 5-2 2-3 S - I (` Date: 06 1 2 <br /> Test Performed by: I A Permit#: 1 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). Pere/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 /> Notes any changes in elevation on the subject property. <br /> Notes all water wells. <br /> Notes all man-made features(septic sstems, drives, barns,outbuildings,animal pens,etc. <br /> Notes all natural features(ephemeral drainage courses, large stands of trees, ponds, rivers,etc. <br /> PERC TEST PREPARATION PROTOCOL <br /> Date and time of test hole prepar tion. <br /> V--T Diameter and depth of test hole 4" 12"diameter and 36"-42"depth . Z" <br /> Dimensions and depth of deep test hole 4"-12"diameter and 42"-25'or minimum 10' above seasonal high water table). <br /> Test hole preparation(scoring of sidewalls, removal of loose material). <br /> Weather conditions at time of testing (raining,windy, etc. SLIrlaq Wlrld <br /> Soil type and condition encountered in test hole.Ua C�l l <br /> 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 /> Condition 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 6"over gravel). Documented on the recordation sheet. <br /> Descri tion of type of perc test procedure used based on conditions Procedure#1 # or#3). <br /> Accurate recordings of drop and refill of water in same measurements. <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 by REHS. <br /> SOIL PROFILE <br /> Description of the date, time, and protocol used to prepare soil profile pit. <br /> Description of soil profile pit including depth and dimensions. <br /> Soil lithology described by appropriate professional using industry standard protocol. <br /> COMMENTS <br /> REHS Name: YW <br /> Calculations Examples: <br /> Last drop reading=.07'over 30 minutes time. Last drop reading=1.2'over 10 minutes time. <br /> .07'x 12"=.84"(convert from feet to inches) 1.2'x 12"=14.4"(convert from feet to inches) <br /> 30 minutes=.84"=35.7 minutes/inch 10 minutes=14.4"=.69 minutes/inch <br /> EHD4200-xx 8-1-2018 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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