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SR0079018
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079018
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Last modified
6/27/2018 2:04:41 PM
Creation date
5/16/2018 4:45:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079018
PE
4210
FACILITY_NAME
CHADWICK, SCOTT W & LINDA L TR
STREET_NUMBER
8764
Direction
N
STREET_NAME
WALNUT ACRES
STREET_TYPE
RD
City
STOCKTON
Zip
95212
APN
08525008
ENTERED_DATE
5/16/2018
SITE_LOCATION
8764 N WALNUT ACRES RD
RECEIVED_DATE
4/19/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC�SYSTEM INSPECTION GHECK LIST ^ <br />INSPECTED BY: C DATE: <br />ADDRESS:c,� i C PERMIT <br />Check box ACTUAL- MEETS SJC <br />PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TAN K: <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 />TANKVENTED? <br />ANY•TANKABNORMALITIES NOTED? <br />OTHER <br />N <br />(T Y N <br />N <br />+ Y N <br />Y N <br />Y N , <br />Y N <br />Y N <br />Y N <br />Y N <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS fl -BOX LEVEL? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />LEACH FIELD: (L = LEf1CH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER {(YELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SUIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LLTRENCHES? <br />CORRECT LENGTH OF LL T HES? <br />CORRECT TYPE OF G? <br />OTHER <br />Y N <br />N <br />Y N - <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />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 RO <br />CORRECTWIDTH? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <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 />oe <br />INSPECTED BY: C DATE: <br />
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