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SR0078276
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078276
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Last modified
6/27/2018 2:03:46 PM
Creation date
3/19/2018 3:03:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078276
PE
4214
FACILITY_NAME
LE, BINH D & DEP THI
STREET_NUMBER
3603
Direction
N
STREET_NAME
CHERRYLAND
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
08709014
ENTERED_DATE
3/19/2018
SITE_LOCATION
3603 N CHERRYLAND AVE
RECEIVED_DATE
10/18/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: PERMIT # p ? <br />Check box ACTUAL MEETS SJC <br />PARAMETER ffinspected MEASUREMENT 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?Y <br />OTHER <br />0.0 Y N <br />' Y N <br />Y N .` <br />Y N <br />Y N <br />` Y N , <br />L, f �{- L� Y N <br />Y N <br />N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISO -BOX LEVEL? <br />OTHER <br />Y N <br />Y N <br />Yfu Y N <br />Y 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 LLTRENCHES? <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 />Y N <br />Y N - <br />1 Y N <br />Y N <br />1A Y N <br />/ Y N <br />Y N <br />-6��vT�%Z Y N <br />Y N <br />SEEPAGE PITS: <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 <br />t N <br />N <br />N <br />Y N <br />2 N <br />CY ` N <br />Y N <br />v <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE 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 />ng <br />w <br />INSPECTED BY: /, t � J�� uA I t: <br />
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