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SR0078296
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078296
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Entry Properties
Last modified
6/27/2018 2:03:47 PM
Creation date
3/1/2018 4:36:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078296
PE
4210
FACILITY_NAME
PHILLIP & ROBIN GIUNTOLI
STREET_NUMBER
20411
Direction
S
STREET_NAME
HARROLD
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
24719006
ENTERED_DATE
3/1/2018
SITE_LOCATION
20411 S HARROLD AVE
RECEIVED_DATE
10/23/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST" <br />F - / (J/\ -/u - - I L/ /,/-- -// 1 <br />►A <br />ADDRESS: PERMIT <br />PARAMETER <br />Check box ACTUAL MEETS SJC <br />if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANKCAPACTTY? <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 ABNORMAL OTED? <br />OTHER <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION?N <br />ISD -BOX LEVEL? <br />OTHER <br />Y N <br />Y N <br />Y <br />y N <br />N , <br />Y N <br />Y N <br />Y N <br />Y N <br />J <br />N <br />L; N <br />ev— <br />N <br />N <br />r <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE?Y/ <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OF LLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />N <br />C; j �(� N <br />- TN <br />Y N <br />ZSI, `` -� �� N <br />1, -5- 6L f1 YN <br />. N <br />r' / Y N <br />N <br />N <br />7, <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />Y <br />_ N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />MISCELLANE : <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM?N <br />DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? (l Y� N <br />DOES PERMIT RA <br />ANY No ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />sZ�e <br />�INSPEG�T�EDBY: <br />F - / (J/\ -/u - - I L/ /,/-- -// 1 <br />►A <br />
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