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SR0078467
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078467
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Entry Properties
Last modified
6/27/2018 2:04:00 PM
Creation date
3/1/2018 11:35:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078467
PE
4210
FACILITY_NAME
GREGORY ALAN & GRACE A MALLETT TR
STREET_NUMBER
11152
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20515041
ENTERED_DATE
3/1/2018
SITE_LOCATION
11152 S CARROLTON RD
RECEIVED_DATE
12/6/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # sAeO6 <br />78 <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 />Z <br />71' <br />SUR3S <br />® <br />6) <br />Q7 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />7� <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? �Yo� <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? — <br />IS D -BOX LEVEL? <br />OTHER <br />40 <br />Y <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 />Ole <br />Xn / <br />Z i <br />yon <br />c✓L� R 3 S <br />Y <br />a) <br />8i <br />GD <br />00 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <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?S <br />CORRECT WIDTH? <br />OTHER <br />_ <br />' t <br />K <br />Y <br />Y <br />Y ' <br />( Y / <br />Y <br />N <br />N <br />N <br />N <br />N <br />/ <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. L <br />COMMENTS: t I� s 4� 3 �) T G S <br />6> <br />uP <br />O' <br />N <br />N <br />c� J t� <br />�p <br />INSPECTED BY: DATE: <br />Z <br />
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