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SR0078710
EnvironmentalHealth
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ACAMPO
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078710
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Last modified
6/27/2018 2:04:19 PM
Creation date
2/28/2018 1:44:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078710
PE
4214
STREET_NUMBER
3252
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01321001
SITE_LOCATION
3252 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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f' <br />SEPTIC SYSTEM 1NSPEGTION GHEGK LIST <br />INSPECTED BY: r. r1 DATE: <br />zG <br />Uv L ( c Z• (� <br />ADDRESS: ` PERMIT # j <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <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 7 <br />ANY-TANKABNORMALITIESNOTED? <br />OTHER <br />_ <br />Y N <br />N <br />N <br />ti N <br />1a — N <br />N , <br />S Q N <br />�— N <br />Y N J <br />Y N <br />V <br />L <br />/ <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK? ►1 i tr.: �,;; <br />DISTANCE TO NEARESTLEAQf'LTNE7 <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />�j Yi N <br />N <br />N <br />Y j N <br />Y N <br />LEACH FIELD: (LL = L NES) <br />DISTANCE TO PR PEO RTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S7 <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />N <br />Y) N <br />N - <br />N <br />N _ <br />Y N 1 / <br />Y N N %A <br />✓ `-1 N <br />�, N <br />Y N <br />S E PITS: Lk, <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS?n <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />l h <br />l l / N <br />t) C)"- ff/ N <br />/ Y N <br />N <br />N <br />N JC f <br />Y N <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 />n � <br />INSPECTED BY: r. r1 DATE: <br />zG <br />Uv L ( c Z• (� <br />
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