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SAN JOAQUIN <br />COUNTY- <br />grows <br />OUNTY-grows her <br />Environmental Health Department <br />PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br />S1C Ordinance Code, Title 9, Section 9-1105.2 <br />EHD Policy for Percolation Test Procedure 98-01 <br />Site Location: 1 1745 4 V0- o Sos <br />Date: <br />3 <br />Test Performed by: 19 ;(,K Permit#: S OSO <br />PA#: <br />_- - <br />SITE MAP ------- —_ — <br />Includes pert 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 />Notes all water wells. _ <br />.� <br />Notes all man-made features septic systems, 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 hole preparation. 2 all 9 LOJ 195 <br />Diameter and depth of test hole 4"-12" diameter and 36"-42" depth). 4 ; H . -6Q,� I2 y <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.y <br />Soil type and condition encountered in test hole. 0_�' S ; j-�� - -S a�.� ? _S 5 Gt-lta( A414�;11 <br />Addition of 2" of course sand or fine gravel to test hole. <br />✓r <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). J)p- <br />Correct amount of water used to refill hole 6" over gravel). Documented on the recorqKion sheet. <br />✓f <br />"Description of type of perc test procedure used based on conditions Procedure #1, 2, r #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 RENS. 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 />Description of soil profile pit including depth and dimensions. <br />Soil lithology described by appropriate professional using industry standard rotocol. <br />COMMENTS it?/ <br />o veru � + S oo-k- 4�� a S f k- In•� -2,;ZS <br />so ► yf-d <br />tiv0`'� �• � S T �� � -Cj I <br />REHS Name: Q— 4rijG� B� <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) 1.2' x 12" = 14.4' (convert from feet to inches) <br />30 minutes _ .84' = 35.7 minutes/inch 10 minutes _ 14 4' = .69 minutes/inch <br />cnu--,- a -i - I� <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />