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SR0079086
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079086
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Last modified
6/27/2018 2:04:47 PM
Creation date
5/17/2018 9:07:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079086
PE
4211
FACILITY_NAME
NORCAL CONSTRUCTION & MAINTENANCE GROUP
STREET_NUMBER
23350
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00734004
ENTERED_DATE
5/17/2018
SITE_LOCATION
23350 N BRUELLA RD
RECEIVED_DATE
5/9/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIG SYSTEM INSPEGTION GHEGK L119T <br />^A <br />INSPECTED BY: (1 / DATE: _ <br />,/ j —o f cX] <br />-U)S <br />-Q <br />ADD1 - 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 />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />N <br />f Y N <br />' YN <br />N Nc -t ale Lj Z:: <br />Y N <br />N <br />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 D -BOX LEVEL? <br />OTHER <br />N <br />/ ( N <br />`T - N <br />N <br />Y N <br />LEACH FIELD: (LL= LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANGETONEARESTFOUNDA`IION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORREGTDEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK?T' <br />CORRECT WIDTH OF LI_ TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />Y N <br />-� N y </ �;� a n Q /1 �1 c S <br />1V' N - <br />N <br />y — Y N <br />�j N <br />N <br />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 ROCK? <br />CORRECTWIDTH? <br />OTHER <br />P Y N <br />N <br />SO N <br />( to Y N <br />1 Y 0 �' �• / �,k t��y. �j �� 3 <br />/, N <br />�i ` N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATIONOFSYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABff)REQUIRES PERMIT TO BE REDRAWN, <br />COMMENTS: <br />— —* <br />INSPECTED BY: (1 / DATE: _ <br />,/ j —o f cX] <br />-U)S <br />-Q <br />
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