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SR0078227
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078227
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Entry Properties
Last modified
6/27/2018 2:03:40 PM
Creation date
3/2/2018 11:22:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078227
PE
4210
FACILITY_NAME
DAL PORTO, RICHARD D JR & MICHELLE C
STREET_NUMBER
9061
Direction
N
STREET_NAME
NASSANO
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08520019
ENTERED_DATE
3/2/2018
SITE_LOCATION
9061 N NASSANO DR
RECEIVED_DATE
10/5/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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f <br />SEPTIG SYSTEM INSPEG'rioN CHECK LIST <br />1NSPECT.ED BY: ���� � � un"-'• - � ' l � Ci (/' <br />ADDRESS: PERiUIIT # <br />Cbeckbox ACTUAL 1VIEETSSJG <br />PARAMETER ifinspented MEASUREMENT STANDARDS? GQiNMENTs <br />SEPT[C TANK: <br />CORRECT TANK CAPACITY?Y <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCHTO ANY WELLS? <br />TANKLEVELAND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED ? <br />ANYTANKABNORMAL IES NO <br />OTHER <br />N <br />Y N <br />Y N <br />Y <br />N <br />Y N , <br />y N c <br />Y N <br />Y N - <br />Y N <br />DISTRIBUTION D0X <br />DISTANCEFROMTANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISiD-BoxLEVEL.? 1. ' <br />OTHER <br />I <br />Y N <br />► Y N <br />N <br />N <br />N <br />LEACH FMD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETOANYWATERWELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN WS? <br />CORRECT DEPTH OF LLTRENGHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFII.TRENCHES? <br />CORRECT LENGTH OFLLTRENCHES?_--- <br />CORRECTTYPEOFPIPING? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N _ <br />Y N C�LoLQ C <br />Y N <br />Y N <br />Y N LJ' )C l -f' <br />--z j� Y N <br />N 6 sL <br />SE;:PAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />D I STAN CE TO ANY WATER WELL-? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECTDEPTHAND TYPE OFROCK? <br />CORRECTWIDTH? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />,S d N <br />Y N <br />I LO N <br />MIS(;EL ANEOUS: <br />DOES PERMIT DRAWING REFLEGTACCURATE LOCATION OFSYSTEM? Y N <br />DOES PERMIT DRAWING SHOWSUFFICIENT DETAILTO LOCATE IN FUTURE_? Y N <br />ANY NOANSWERABOVE REQUIRES PERMITTO BE REDRAWN. <br />GoMMENTs: <br />1NSPECT.ED BY: ���� � � un"-'• - � ' l � Ci (/' <br />
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