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SR0078730
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078730
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Entry Properties
Last modified
6/27/2018 2:04:21 PM
Creation date
3/5/2018 2:28:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078730
PE
4211
FACILITY_NAME
WOLTJER, LARRY & BEVERLY TR
STREET_NUMBER
20007
Direction
E
STREET_NAME
ZUMWALT
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20510019
ENTERED_DATE
3/5/2018
SITE_LOCATION
20007 E ZUMWALT RD
RECEIVED_DATE
2/13/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: Lova? <br />14s( <br />PERMIT # S, vo 7 Y13O <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />✓ <br />(o dlp <br />R <br />N <br />DISTANCE TO FOUNDATION? <br />�' 7 " <br />N <br />DISTANCE TO PROPERTY LINE? <br />�j' } <br />N <br />DISTANCE TO ANY WELLS? <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />GY7 <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />CP <br />N <br />CORRECT TYPE OF PIPING? <br />S� 3f <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />✓ <br />-a) <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? S I I <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />® <br />N <br />OTHER <br />^_ <br />(� <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER WELLS? <br />L 1' <br />N <br />DISTANCE TO NEAREST FOUNDATION?I <br />p� <br />7f% <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />7 p , ZZ I , /3 <br />O <br />N <br />f <br />CORRECT DEPTH OF LL TRENCHES?'sit <br />+ <br />IV <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z <br />m <br />N <br />f <br />CORRECT LENGTH OF LL TRENCHES? <br />p <br />B <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS:' <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />YN <br />OTHER El <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />pp <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />0 <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: AA* <br />DATE: <br />
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