Laserfiche WebLink
SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br />SJC Ordinance Code, Title 9, Section 9-1105.2 <br />El-ID Policy for Percolation Test Procedure 98-01 <br />Site Location: 1 6J 1 E, 2cA4. /..fe., Ave.), Date: <br />Test Performed by: 161/4xnut-+ Permit#: 510243503 PA#: <br />SITE MAP <br />X <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 changes in elevation on the subject property. <br />X Notes all water wells. <br />X Notes all man-made features (septic systems, drives, barns, outbuildings, animal pens, etc.) <br />'N 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 hole preparation. <br />Diameter and depth of test hole (4"-12" diameter and 36" 42' depth). <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 />c-- Weather conditions at time of testing (raining, windy, etc.) .:_,J/ <br />)( Soil type and condition encountered in test hole. 3 f--) , <br />X Addition of 2" of course sand or fine ra—ve to test hole. <br />''S Pre-soak by addition of minimum 12" of water over gravel (24-hours before test). <br />PERC TEST CONDITIONS, MEASUREMENTS, AND REPORTING <br />/S Condition of test hole after the 24-hour pre-soak (amount of water remaining in the hole, any soil sloughing noted). <br />)C Correct amount of water used to refill hole (6" over gravel). Documented on the recordation eet. <br />k Description of type of perc test procedure used based on conditions (Procedure #1, #2, r #3). 51-v j tate-01+6/43 <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. <br />SOIL PROFILE <br />)( Description of the date, time, and protocol used to prepare soil profile pit. <br />'>c Description of soil profile pit including depth and dimensions. <br />Soil lithology described by appropriate professional using industry standard protocol. <br />COMMENTS ,5&vitc,h/ed_ -E-0 1 r6c€- a(f--t _r-- 11----ey- lAW <br />O-11-'16-t,1-11"4'& <br />1 <br />-- REHS Name: 5G-532'06 <br />Calculations Examples: <br />Last drop reading = .07' over 30 minutes time. <br />.07 x 12" = .84" (convert from feet to inches) <br />30 minutes ÷ .84" = 35.7 minutes/inch <br />Last drop reading = 1.2' over 10 minutes time. <br />1.2' x 12" = 14.4" (convert from feet to inches) <br />10 minutes ÷ 14.4" = .69 minutes/inch <br />EHD 4200-xx 8-1-2018 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com