Laserfiche WebLink
SAN JOAQUIN COUNTY . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue P Floor Stockton- CA 95202-2708 <br /> -3420-Fax: 209)464-0138 - Web:www.co.san-joaqui ;ca.us/ehd <br /> (209)468 <br /> I� SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST i <br /> 'F <br /> I E V 24f PA <br /> SIT �.00ATION: � /� � � __ <br /> I� REPORT DATE: <br /> II <br /> s = sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> E <br /> S 1 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> I!� ❑ 1.1 Description of site, including zoning information. <br /> `❑' ❑ 1.2 Description of proposed development. P 2- <br /> El❑ 1.3 Parcel vicinity location map. �l <br /> ❑ 1.4 Site ma showing location of all items on parcels i.e.,structures,drives,wells, septic stems, large trees, <br /> P g P (� P Y 9 ���• I <br /> pastures, pools, natural drainage courses, ponds,waterways,etc.) <br /> H <br /> E5 <br /> li 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,functioning/repair rates). P L <br /> �I� ❑ 3.2 Site septic permit history(number/types/dates of permits,age of system, permit numbers,copies in report). Pr_ <br /> E ❑ 3.3 Discussion of on-site septic tank repair history. p, 73, <br /> U <br /> 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, . 3 <br /> proximity to parcel). <br /> 3.5 General area septic permit history(numberltypesldates of permits,age of system, permit numbers,copies in n 3 <br /> report). r <br /> V1 ❑ 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. P-9 <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> ❑ 4.1 Description of the depth and gradient of groundwater in the general area. 9- <br /> i 0 ❑ 4.2 Descriptionldiscussion of any existing andlor potential groundwater contaimination issues in the general location �, 7 <br /> of the site. <br /> iz 0 ❑ 4.3 Description of location (address/APN),type and construction of well and location(well head/l en tap)where r�s <br /> water sample(s)were obtained. <br /> © ❑ 4.4 Description of constituents being tested for in the water sample. P, f <br /> © ❑ 4.5 Description of how sample was obtained, handled,stored,and transported <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, completo laboratory <br /> report to include the above noted information. <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> F71El5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. P ' <br /> i ❑ ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> 7 <br /> 0 ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> I� <br /> ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses, <br /> E <br /> '. ExD 26-02-003 Page 1 of 3 <br /> i 7/1412003 <br /> I <br /> E, - <br />