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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMh <br /> lot*1W J304 E Weber Avenue 3`d Floor Stockton • CA 95202-2708 <br /> �. (209)468-3420 • Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> cgrr. <br /> \IFO <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: 3401 WHISKEY SLOUGH ROAD, $TOCKTON PA#: 06- 320 (UP)� ! !d <br /> REPORT DATE: 41 2/ 2006 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> = Insufficient <br /> S 1 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> 1.1 Description of site, including zoning information. <br /> 1.2 Description of proposed development. <br /> ® 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 /> ® 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 exiting on-site septic tank usage (system types, age,functioning/repair rates). <br /> ® -Q 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> ® �E] 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 /> ® Ea- 3.5 General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). <br /> ® 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 /> ® 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> ® 4�1- 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 /> ® -8- 4.4 Description of constituents being tested for in the water sample. <br /> ® -8— 4.5 Description of how sample was obtained, handled, stored, and transported to the lab. <br /> ® G 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 /> ® -8 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. <br /> ® -a 5.2 Description of soil profile pit including depth and dimensions. <br /> ® 4D 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> ® -D- 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD 26-02-003 Pagel of3 Soil Suitability Checklist <br />