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SR0079035
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079035
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Last modified
6/27/2018 2:04:43 PM
Creation date
5/8/2018 9:48:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079035
PE
4213
FACILITY_NAME
ROWE, DONNA K TR
STREET_NUMBER
12372
Direction
N
STREET_NAME
ANGIER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06114064
ENTERED_DATE
5/8/2018
SITE_LOCATION
12372 N ANGIER RD
RECEIVED_DATE
4/23/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: DATE: <br />1 12'S-�6 GI s <br />ADDf2ESS: ,4? 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 />DISTANCE TO PROPERTY LINE? <br />DISTANCHTO ANY WELLS?�j <br />TANK LEVEL AND ORIENTED CORRECTLY?Y <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY. TANK ABNORMALITIES NOTED? <br />OTHER <br />- <br />y` / N <br />1 N <br />Y N ` <br />2_1 _ N <br />N <br />IN T <br /><; Y IN <br />Y� N <br />Y N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? _ N <br />DISTANCE TO NEAREST LEACH LINE? 6 —C. N <br />DOES SYS FEM HAVE EQUAL DISTRIBUTION? Y_ N <br />ISD -BOX LEVEL? CY N <br />OTHER Y N <br />LEACH FIELD: (LL = L NES) r <br />DISTANCE TO PROPERTY LINE? <br />DISTANCFTOANY WATER I(VELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN I 1'.S? <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />Q7^ <br />Y N <br />2 e N N <br />i <br />'t-�Q <br />Y N <br />Y N <br />N <br />�1/� N <br />N lS u <br />3 N <br />Y N <br />S - PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS?, <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL_ BARRIER TO PETS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />E (IY� N <br />` /� N <br />Y Y 7i —6 N <br />� N <br />�' / ?-� N S <br />Cy N ?�l{�- <br />Y N <br />`fes <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 />INSPECTED BY: DATE: <br />1 12'S-�6 GI s <br />
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