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SR0076874
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076874
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Entry Properties
Last modified
10/2/2018 1:24:54 PM
Creation date
12/5/2017 8:47:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076874
PE
4210
STREET_NUMBER
3735
Direction
E
STREET_NAME
BARRON
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00510027
ENTERED_DATE
3/2/2017 12:00:00 AM
SITE_LOCATION
3735 E BARRON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
FilePath
\MIGRATIONS\B\BARRON\3735\SR0076874.PDF
QuestysFileName
SR0076874
QuestysRecordID
3347529
QuestysRecordType
12
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: ��CS11,f6 <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N , <br />Y N <br />Y N <br />Y N <br />Y N <br />DISTRIBUTION BOX: (DV672�) <br />DISTANCE FROM TANK? Y N <br />DISTANCE TO NEAREST LEACH LINE? Y N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br />ISO -BOX LEVEL? Y N <br />OTHER Y N <br />LEACH FIELD: (LL = LEACH LINES) 6ZNl�v�k{ <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />�d <br />l %/y' ( N <br />N <br />N <br />Y N <br />Y N <br />Y N <br />LQ," (E) N <br />0 N <br />Y N <br />Y N <br />✓ <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />�� 1�� N <br />G//' N <br />!Z`j' N <br />ld ' �_ N <br />Z41 V N <br />0 N <br />Y N <br />✓ <br />✓ <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED $Y��/�c� (::j�- UH i c: • _,yct'i/jr <br />
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