Laserfiche WebLink
`•/ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> r 304 E Weber Avenue 3"Floor Stockton •CA 96202-2708 <br /> - `' 209 468-3420•Fns:(209)464-0138• Web:www.cosan-joaquiaca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST O y_ 3 S <br /> SITE LOCATION: <br /> /a �' REPORTDATE: <br /> _ / awT <br /> S = Sufficicnt San Joaquin County Development Title Chapter 9.1105,Section 9.1105.2 <br /> I = Insufficient <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> r . 1.1 Description of site,including zoning information. <br /> 1.2 Description of proposed development. <br /> 1.3 Parcel vicinity location map. drives,wells,septic systems,large trees, <br /> arcels <br /> 1.4 Site map showingnatural drainage courses.ponds,pastures,pools, <br /> s on waterways,etc.) <br /> , <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 /> 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br /> 3.1 Description of existing on-site septic tank usage(system types,age,fundioning/repaircate o <br /> 3.2 Site septic permit history(number/types/dales of permits, age of system,permit numbers,copies in report). <br /> 0 3.3 Discussion of on-site septic tank repair history. <br /> 0 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, <br /> proximity to parcel). <br /> d3.5 General area septic peril history(number/types/dates of permits,age of system,permit numbers,copies in <br /> report). <br /> QD 3.6 Discussion of general area septic tank repair history. <br /> 3.7 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 /> 0 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> EJ 4.3 Description of location(address/APN),type and construction of well and location(well headMtchen tap)where <br /> water sample(s)were obtained. Q <br /> d4.4 Description of constituents being tested for in the water sample. D BC? r I 1 <br /> El4.5 Description of how sample was obtained,handled,stored,and transported to the lab. PPS <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 /> © El 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> FYI F-1 5.2 Description of soil profile pit including depth and dimensions. <br /> 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> dEl 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD 26-02-W3 Page I of <br /> 7,IJ.2W3 <br />