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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br />SJC Ordinance Code, Title 9, Section 9-1105.2 <br />El-ID Policy for Percolation Test Procedure 98-01 <br />A <br />Site Location: ,5 (N il y, t,/ Po ro,-(A0 Jt ) dyeA,..c.JA_Gv, to Date: &/19-(i/ <br />Test Performed by: 4-co r, a A-,.5 :--(----e P6ermit#: SW 3t1A3 PA#: <br />SITE MAP <br />/ <br />/ <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 />4 Notes any changes in elevation on the subject property. <br />/ Notes all water wells. <br />Notes all man-made features (septic systems, 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 />1- Date and time of test hole preparation. <br />Diameter and depth of test hole (4"-12" diameter an. 042" depth). <br />/ Dimensions and depth of deep test hole ( 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.) $(,..-1/7 <br />Soil type and condition encountered in test hole. <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 pre-soak (amount of water remaining in the hole, any soil sloughing noted). <br />'7 Correct amount of water used to refill hole (6" over gravel). Documented on the xecordation sheet. _ <br />Description of type of perc test procedure used based on conditions (r.o.rcedure-#11,-#2, 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 />v 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 / ,)2 L. <br />REHS Name: 7 ,5 (./q-3 3Y'C'--1 f <br />Calculations Examples: <br />Last drop reading = .07' over 30 minutes time. <br />.07' x 12" = .84" (convert from feet to inches) <br />30 minutes ÷ .84" = 35.7 minutes/inch <br />Last drop reading = 1.2' over 10 minutes time. <br />1.2' x 12" = 14.4" (convert from feet to inches) <br />10 minutes ÷ 14.4" = .69 minutes/inch <br />EHD 4200-xx 8-1-2018 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com