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SR0078763
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078763
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Last modified
6/27/2018 2:04:25 PM
Creation date
3/1/2018 12:09:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078763
PE
4210
FACILITY_NAME
WERTMAN, ANDREW R & VIRGINIA
STREET_NUMBER
4843
Direction
E
STREET_NAME
FIG
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
22602020
ENTERED_DATE
3/1/2018
SITE_LOCATION
4843 E FIG AVE
RECEIVED_DATE
2/20/2018
P_LOCATION
99
P_DISTRICT
005
Tags
EHD - Public
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,a <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 14%,'f <br />PERMIT # r2ad 7 <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 />l ZOU <br />j " <br />4�Cj(� <br />— <br />j �� �l 3 <br />-- <br />R <br />Y <br />0 <br />$> <br />-O <br />-CZ> <br />® <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />woo--- <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? �/ �C�7 <br />DISTANCE TO NEAREST LEACH LINE? (p 2- <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />6> <br />4CP <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 />1 <br />i bg1 <br />2 51 <br />1 31 <br />!lee 3& <br />Q /' <br />V Lie 1 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />vZ <br />SEEPAGE PITS: /VIRi <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 El <br />Y <br />Y <br />Y <br />Y <br />Y <br />YN <br />Y <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 />W <br />® <br />N <br />N <br />INSPECTED BY: ob �L IA " ) <br />DATE: 2_1 -A- ZOJf <br />
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