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SAN JOAQUIN COUNTY <br /> z• ' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3"Floor Stockton -CA 95202-2708 <br /> (209)468-3420 •Fax.(209)464-0138 - Web:www.co.san-joaquin.ca.us/ehd <br /> .CtFati� <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION:9593 N STE.RT.88,STOCKTON PA#: 07-418(SA) <br /> REPORT DATE:6/10/2008 <br /> S = Sufficient San Joaquin County P P Development Title Chapter 9-1105, Section 9-1105.2 <br /> I — Insufficient <br /> S / I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ® ,/ ❑ 1.1 Description of site,including zoning information. <br /> ®� ❑ 1.2 Description of proposed development. <br /> N i✓ ❑ 1.3 Parcel vicinity location map. <br /> ® ✓ ❑ 1.4 Site map showing location of all items 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 /> E ✓ ❑ 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 /> N d ❑ 3.1 Description of exiting onsite septic tank usage(system types, age,functioningtrepair rates). <br /> ® / ❑ 3.2 Site septic permit history(numberltypes/dates of permits,age of system, permit numbeK.Moils in report) <br /> ® ✓ ❑ 3.3 Discussion of on-site septic tank repair history. <br /> ®� ❑ 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, <br /> proximity to parcel). <br /> ®y/ ❑ 3.5 General area septic permit history(number/types/dates of permits,age of system, permit numbers,copies in <br /> report). <br /> N ❑ 3.6 Discussion of general area septic tank repair history. <br /> N>/ ❑ 3.7 Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> N✓ ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> Ny� ❑ 4.2 Descriptian/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> N✓ ❑ 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 /> ® V'l ❑ 4.4 Description of constituents being tested for in the water sample. <br /> E ❑ 4.5 Description of how sample was obtained, handled, stored,and transported to the lab. <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 /> / 5.0 SOIL PROFILE INFORMATION SECTION <br /> ® ✓ ❑ 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> N✓ ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> E✓ ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> 0 / ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> f <br /> EHD 26-02-003 Pagel of 3 Soil Suitability Checklist <br />