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SR0084374_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0084374_SSNL
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Last modified
10/29/2021 4:41:03 PM
Creation date
10/29/2021 4:23:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084374
PE
2602
STREET_NUMBER
31296
Direction
E
STREET_NAME
ROSSIER
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22920008
ENTERED_DATE
10/19/2021 12:00:00 AM
SITE_LOCATION
31296 E ROSSIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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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 />Er Li <br />5.0 SOIL PROFILE INFORMATION SECTION <br />5.1 Site map showing the location, with dimensions, of the soil profile pit on the parcel. <br />El 5.2 Description of soil profile pit including depth and dimensions. <br />5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br />5.4 Discussion of soil lithology as related to future onsite septic uses. <br />S = Sufficient <br /> <br />I 6.0 PERCOLATION TEST INFORMATION SECTION <br />6.1 Site map showing the location, with concise and accurate dimensions of the percolation test holes on the parcel. <br /> <br />El 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. <br />6.3 Description of the date, time and protocol used to prepare the test hole, including depth and dimensions of hole, <br />preparation of hole, and depth of water used to presoak (minimum 12 inches). <br />6.4 Description of the date, time and condition of the test hole after the 24-hour soak period (hole still intact, hole dry, <br />depth to water remaining in hole, etc.) <br />1746 0 6.5 The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2" gravel, 6" water refill, correct readings <br />recorded). <br />6.6 Complete Percolation Test Form (including readings) was provided with REHS verification signature. The rate <br />was correctly calculated using the last reading. <br />6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. <br />ELJ • 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. <br />7.0 CONCLUSION SECTION <br />12( D 7.1 The report was signed and stamped by the appropriately registered individual <br />Reviewed By: Reviewed Date: ° t I <br /> <br />END 26-02-003 <br /> Page 2 of 3 <br />Soil Suitability Checklist <br />7/14/mit
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