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SR0079073
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079073
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Entry Properties
Last modified
6/27/2018 2:04:46 PM
Creation date
5/17/2018 8:40:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079073
PE
4210
FACILITY_NAME
GREGG, WAYNE A & EDNA D TR
STREET_NUMBER
5859
Direction
E
STREET_NAME
ARMSTRONG
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06107022
ENTERED_DATE
5/17/2018
SITE_LOCATION
5859 E ARMSTRONG RD
RECEIVED_DATE
5/4/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTI=M INSPECTION CHECK LIS-' <br />INSPECTED BY: � U1 �/ DATE: <br />ADD SS: - �• . PERMIT # <br />' Check box ACTUAL — MEETS SJC <br />PARAMETER If Inspected MEASUREMENT STANDARDS? CQMMENTS <br />771 <br />SEPTIC TANK: <br />CORRECT TANKCAPAOITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETO ANY WENS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED? <br />ANY -TANK ABNORMALITIES NOTED? <br />OTHER <br />2-00 N <br />Y N <br />T� N ` <br />N <br />N _ <br />N , <br />'�� Y N <br />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 />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 = LFQCH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? 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 />ZYN <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 P <br />CORRECT DEPTH AND TYPE ROCK? <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 PElZMIT TO BE RED N. <br />COMMENTS: <br />INSPECTED BY: � U1 �/ DATE: <br />
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