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SR0078879
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078879
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Entry Properties
Last modified
6/27/2018 2:04:33 PM
Creation date
4/19/2018 9:45:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078879
PE
4210
FACILITY_NAME
CAMACHO, IVAN & MAYRA ALEJANDRA
STREET_NUMBER
5248
Direction
E
STREET_NAME
ASHLEY
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08511038
ENTERED_DATE
4/19/2018
SITE_LOCATION
5248 E ASHLEY LN
RECEIVED_DATE
3/16/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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E! <br />SEPTIC SYSTEM INSPECTION GHEGK LIST <br />AQQRESS: 2 184 PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCETO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANK VENTED 7 <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />Y N <br />Y DL <br />G W _ N <br />Y N <br />Y N <br />Y N , <br />Y N <br />q /.l+(� N <br />Y N <br />Y N <br />f <br />v <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? Yr lr +o►S <br />DISTANCE TO NEAREST LWH-LIM-? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISO -BOX LEVEL? <br />OTHER <br />{ <br />N r <br />Z N <br />m, 1A Y N <br />N <br />Y N <br />r <br />LEACH FIELD: (LL= LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDATION?., <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF Lt_ TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />Y \ N <br />� ��^ N <br />N - <br />��y N <br />2 Cs/ N <br />011 Y N <br />, N <br />401 N <br />�j �;� S Y N <br />Y N <br />Is <br />V <br />�/ <br />►✓ <br />SEEPAG'�S u r- <br />DIST NCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS?h <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />G { �j <br />LY <br />1C <br />Z a too <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />f <br />v <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BY: \ f DATE: <br />�, JX <br />iq <br />
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