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SR0078265
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078265
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Entry Properties
Last modified
11/20/2024 9:24:00 AM
Creation date
3/1/2018 10:58:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078265
PE
4214
FACILITY_NAME
GHAUS MOHAMMED TR MALIK
STREET_NUMBER
12995
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06318003
ENTERED_DATE
3/1/2018
SITE_LOCATION
12995 N HWY 88
RECEIVED_DATE
10/16/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTi=M INSPECTION CHECK LIST <br />INSPECTED BY: �v Lill IC: • / 0 •/ Iy/l <br />ADDRESS: i Z ZO PERMIT # <br />Checkbox ACTUAL MEETSSJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCFTO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED ? <br />ANYTANKABNORMALITIES NOTED? <br />OTHER <br />i Z -0c N <br />► N <br />Y N <br />_s "j ( ` N <br />N <br />Y N , <br />�t; t W V% N S <br />Y N <br />Y N. <br />Y N <br />DISTRIBUTION Box, <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS -D-BOX LEVEL? <br />OTHER <br />/ <br />t Y N r <br />Y N <br />/ N <br />Y N <br />Y N <br />LEACH FIELD: (LL=LEPCH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN 11257 <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF ILL. TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />' <br />N <br />N <br />I Y N <br />N <br />Z �_ N <br />*2r <br />�N <br />�,,� A) <br />r, N <br />`��l N <br />Y N <br />Y N <br />V <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECTDEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />Q <br />j7 _ Y N <br />/1 � �t N <br />1 I Y N <br />u' N <br />N <br />RAIL N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLEGTACCURATE LOCATION OF SYSTEM? N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br />ANY NO ANSWER ABOVE REQUIRES PERMITTO BE REDRAINN. <br />COMMENTS: <br />INSPECTED BY: �v Lill IC: • / 0 •/ Iy/l <br />
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