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SR0077644
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077644
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Last modified
6/27/2018 2:02:50 PM
Creation date
3/1/2018 4:23:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077644
PE
4210
FACILITY_NAME
CUSUMANO, GARY M & DIANA L TR
STREET_NUMBER
14770
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05802001
ENTERED_DATE
3/1/2018
SITE_LOCATION
14770 N DAVIS RD
RECEIVED_DATE
6/6/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: / PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: C`F1'Sld <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 />TANKVENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <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 />N <br />® N <br />© N <br />LYYj N <br />Y 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 />� �Y N <br />N <br />N <br />Y N <br />Y N <br />Y N <br />l l N <br />?i Y N <br />Y N <br />Y N <br />'ITS: <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 />CORRECTWIDTH? <br />OTHER <br />3 j N <br />N <br />rs3 N <br />i N <br />N <br />/_(. N <br />Y N <br />✓ <br />�/ <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED �� / ��„ c� �, DATE: <br />
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