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SR0078876
EnvironmentalHealth
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11303
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078876
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Last modified
11/20/2024 8:50:22 AM
Creation date
4/19/2018 9:42:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078876
PE
4214
FACILITY_NAME
MEZA, RITO & ELIZABETH
STREET_NUMBER
11303
Direction
E
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215
APN
08919028
ENTERED_DATE
4/19/2018
SITE_LOCATION
11303 E HWY 26
RECEIVED_DATE
3/16/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: DATE: - <br />U��� 3 <br />/�� <br />ADDRESS: j0,13 ,N • { PERMIT S C-� <br />Check box ACT L MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <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?Y-<N <br />CORRECT TYPE OF PIPING? <br />TANKVENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />N <br />�. Y N <br />Y (-N . <br />- <br />Y N _ <br />YN <br />AY N <br />Y N <br />' <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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />LEACH FIELD: (LL= LEACH ES) In t <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 />r <br />Y } N <br />t� Z � N <br />31 N <br />Y N <br />L N <br />Y N <br />Y N <br />N <br />�/ N <br />Y N <br />SEEP ITS: �� <br />STANCE 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?ey <br />CORRECTWIDTH? <br />OTHER <br />i �� <br />I .J �� N <br />7 N <br />'Z'Z-�' N <br />—��— Y N <br />N <br />/� �{N <br />2Z— N a S <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 BY: DATE: - <br />U��� 3 <br />/�� <br />
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