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SR0078754
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078754
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Entry Properties
Last modified
6/27/2018 2:04:24 PM
Creation date
3/1/2018 12:08:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078754
PE
4210
FACILITY_NAME
LOMBARDI FARMS
STREET_NUMBER
16998
Direction
E
STREET_NAME
GAWNE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18310006
ENTERED_DATE
3/1/2018
SITE_LOCATION
16998 E GAWNE RD
RECEIVED_DATE
2/15/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: l(! e ' 6-:ea!/"k <br />Azll <br />PERMIT # SXe" 7s <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />��� <br />N <br />DISTANCE TO FOUNDATION? <br />V7/ s 1 <br />N <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS?/Oy <br />/� /�— <br />�TT <br />N <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />C9 <br />N <br />CORRECT TYPE OF PIPING? <br />V' 6j)� b <br />IP <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />'4 <br />N <br />OTHER <br />a <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />S( <br />N <br />DISTANCE TO NEAREST LEACH LINE?S <br />l <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />rr <br />N <br />OTHER <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />v /'� <br />N <br />DISTANCE TO ANY WATER WELLS? <br />�� /.t <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />% 1-/— <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />YO <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Ig I1 <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />7 y ► <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />40 <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />OTHER <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />/O !r <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />p ! <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />! ! <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />S 1 <br />N <br />CORRECT WIDTH? <br />N <br />OTHER <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />K <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: . ^� � <br />/V,'S <br />DATE: f /� <br />Z/?4 zcSl S� <br />
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