Laserfiche WebLink
CFF <br /> SAN 1QAQ� IN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> PERCOLATION TEST/SOIL PROFILE INSPECTION CHECKLIST <br /> 5JC Ordinance Code,Title 9,Sec[ion 9-1105.2 <br /> EHO Polity For Percolation Test Procedure 98-01 <br /> Site Locatlon: Date: 3 <br /> Test Performed by: Permit#: 5 l PA#: <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), Pere/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 wellA eve ^— <br /> Notes all man-made f atures(septic s stems,drives,hams,outbuildings,animal pens,etch <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. <br /> Diameter and depth of test hole(4"-12"diameter and 36"-42"depth). <br /> imensions 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 sidewalis,removal of loose material). <br /> Weather conditions at time of testing (raining,windy,etc. SL4 in <br /> Soil type and condition encountered in test hole. <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 /> 'to ndition of test hole after the 24-hour p re-soak amount of water rem a1nin in the hole,a ny soil slo ug h i ng note d) Pry <br /> Correct amount of water used to refill hale 6'over gravel). Documented on the recordation sheet. <br /> Descri lion of type of perc test procedure used based on conditions Procedure#1 A or#3 . <br /> Accurate recordings of drop and refill of water in same measurements. #vA r a Ke&'L [ 7- - Z�' <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 profle pit. <br /> Descri lion of sail profile pit including depth and dimensions, _ <br /> Soil lithology described by appropriate rofessional using industry standard protocol. <br /> COMMENTS g� p <br /> O ❑DP Al a,� 1 <br /> 4 <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 t 2"=.84"(convert from feet to Inches) 1.2'x IT=14.4'(convert from feet to inches) <br /> 30 min utes+.64'=35.7 min utesAnoh 14 min utes+14.4"=.69 min utesllnch <br /> EH❑a2W.6-1.2010 <br /> 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />