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SR0085735_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0085735_SSNL
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Last modified
9/14/2022 8:27:55 AM
Creation date
9/14/2022 8:15:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085735
PE
2602
STREET_NUMBER
3505
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05921046
ENTERED_DATE
9/1/2022 12:00:00 AM
SITE_LOCATION
3505 E EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />cA�/FOR��P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br />SITE LOCATION: 3505 E EIGHT MILE RD., LODI CA 95240 PA #: PA -2200030, & 31 <br />IRFPORT BATF' AlIGl1ST 16. 21722 <br />S = Sufficient <br />1 = Insufficient <br />San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br />S <br />1 <br />1.0 <br />INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br />® <br />❑ <br />1.1 <br />Description of site, including zoning information. <br />® <br />❑ <br />1.2 <br />Description of proposed development. <br />® <br />❑ <br />1.3 <br />Parcel vicinity location map. <br />® <br />❑ <br />1.4 <br />Site map showing location of all items on parcels (i.e., structures, drives, wells, septic systems, large trees, <br />proximity to parcel). <br />® <br />❑ <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 />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 of any existing and/or potential groundwater contamination issues in the general location <br />3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br />® <br />❑ <br />3.1 <br />Description of exiting on-site septic tank usage (system types, age, functioning/repair rates). <br />® <br />❑ <br />3.2 <br />Site septic permit history (number/types/dates of permits, age of system, permit numbers, copies in report). <br />® <br />❑ <br />3.3 <br />Discussion of on-site septic tank repair history. <br />® <br />❑ <br />3.4 <br />Description of existing septic tank usage in the general area (system types, ages, functioning/repair rates, <br />sample and date and time the sample was submitted to the lab. For Laboratory samplers, complete laboratory <br />proximity to parcel). <br />® <br />❑ <br />3.5 <br />General area septic permit history (number/types/dates of permits, age of system, permit numbers, copies in <br />report). <br />® <br />❑ <br />3.6 <br />Discussion of general area septic tank repair history. <br />® <br />❑ <br />3.7 <br />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. <br />® ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location <br />EHD 26-03 Page 1 of 3 SOIL SUITABILITY STUDY CKLST <br />4/24/12 <br />of the site. <br />® <br />❑ <br />4.3 Description of location (address/APN), type and construction of well and location (well head/kitchen tap) where <br />water sample(s) were obtained. <br />® <br />❑ <br />4.4 Description of constituents being tested for in the water sample. <br />® <br />❑ <br />4.5 Description of how sample was obtained, handled, stored, and transported to the lab. <br />N <br />❑ <br />4.6 Complete Chain of Custody document, including printed and signed name of third party sampler, condition of <br />sample and date and time the sample was submitted to the lab. For Laboratory samplers, complete laboratory <br />report to include the above noted information. <br />EHD 26-03 Page 1 of 3 SOIL SUITABILITY STUDY CKLST <br />4/24/12 <br />
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