Laserfiche WebLink
, "-°--U'"'.` SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> trFoat Greatness grows herr. <br /> L._ <br /> PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br /> SIC Ordinance Code,Title 9,Section 91105.2 <br /> EHD Policy for Percolation Test Procedure 98-01 <br /> Site Location: 1 6100 S. 61 -Do,o4p S4 1 Date: -3 <br /> Test Performed by: ,--c.o Permit#: S $0 91 S- I PA#: <br /> SITE MAP - <br /> Includes perc test and soil profile locations with accurate measurements from a fixed reference point(must be able to locate <br /> the test hole areas in the future). Perc/soil profile holes must meet distance setbacks as noted in the sewage standards for <br /> septic system locations. Percolation test holes and soil profile pits must be conducted in the area proposed for future septic <br /> systems. <br /> Notes any chan es in elevation on the sub•ect property. <br /> Notes all water wells. N0 6 <br /> Notes all man-made features(septic sstems,drives, barns,outbuildings, animal pens,etc. <br /> Notes all natural features(ephemeral drainage courses, large stands of trees, ponds, rivers,etc. <br /> PERC TEST PREPARATION PROTOCOL <br /> Date and time of test holeQre�aration. /3 o t p L 0 A / <br /> Diameter and depth of test hole(4"-12"diameter and 36"-42"depth). +-( ;h. c(,; LO <br /> n f <br /> Dimensions and depth of deep test hole 4"-12"diameter and 42"-25'or minimum 10'above seasonal high water table). <br /> Test hole preparation(scoring of sidewalls, removal of loose material). <br /> Weather conditions at time of testing (raining,windy,etc. S t4hk7 4t/r I'► t, <br /> Soil type and condition encountered in test hole. 5, S J-vt <br /> V" Addition of 2"of course sand or fine gravel to test hole. <br /> Pre-soak by addition of minimum 12"of water over gravel(24-hours before test). <br /> PERC TEST CONDITIONS, MEASUREMENTS,AND REPORTING <br /> Condition of test hole after the 24-hour re-soak(amount of water remaining in the hole,any soil sloughing noted). <br /> Correct amount of water used to refill hole(6"over gravel). Documented on the recordation sheet. <br /> 'Description of type of perc test procedure_used based on conditions(Procedure#1,_ #3). <br /> Accurate recordings of drop and refill of water in same measurements. <br /> Same fixed reference point used for each reading. Description of reference point used to be included in the final report. <br /> Math calculations checked for accuracy. _ <br /> Beginning and end measurements of the last reading verified by REHS.All above reviewed and verified by REHS. 'top dr <br /> SOIL PROFILE <br /> Description of the date,time,and protocol used to prepare soil profile pit. <br /> Description of soil profile pit including depth and dimensions. -- -- <br /> Soil lithology described by appropriate professional using industry standard protocol. <br /> COMMENTS <br /> REHS Name: <br /> Calculations Examples <br /> Last drop reading=.07 over 30 minutes time. Last drop reading=1.2 over 10 minutes time <br /> .07'x 12'=.84'(convert from feet to inches) 12x 12'=14.4'(convert from feet to inches) <br /> 30 minutes>.84'=35.7 minutestinch 10 minutes+14.4'=.69 minutestiinch <br /> EHD 42M-xx 8-1-2•-118 -- ----- _— _. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />