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SR0078442
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078442
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Entry Properties
Last modified
6/27/2018 2:03:58 PM
Creation date
3/1/2018 11:30:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078442
PE
4218
FACILITY_NAME
SILKROAD OASIS LLC
STREET_NUMBER
1201
Direction
N
STREET_NAME
GERTRUDE
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
14327034
ENTERED_DATE
3/1/2018
SITE_LOCATION
1201 N GERTRUDE AVE
RECEIVED_DATE
11/20/2017
P_LOCATION
99
P_DISTRICT
002
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <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 ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />/ y <br />SIJ I'_ 3 5 <br />( <br />Y <br />4Z <br />Y <br />0, <br />4D <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />.i <br />V <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />fj / S �� <br />14 <br />_�— <br />Y <br />(�%} <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <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 />Z <br />/(� ' <br />�,q /�� aril, <br />4 <br />Y <br />m <br />(9 <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />.,�" <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 />j <br />u () �n/t--Tlk <br />2n1 - f- <br />l/ <br />t <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />C9 <br />6> <br />N <br />N <br />INSPECTED BY: DATE: <br />
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