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SR0079101
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079101
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Entry Properties
Last modified
7/19/2018 9:45:45 AM
Creation date
7/19/2018 9:09:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079101
PE
4210
FACILITY_NAME
REED, JEFFREY & SANDRA
STREET_NUMBER
1H017
STREET_NAME
LA JOLLA
City
TRACY
Zip
95304
APN
80108017
ENTERED_DATE
5/10/2018 12:00:00 AM
SITE_LOCATION
30000 KASSON 1H017 LA JOLLA
RECEIVED_DATE
5/10/2018
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />Ed <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />�/ s <br />& <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />d? <br />N <br />IS D -BOX LEVEL? <br />69 <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />/ 7 <br />N <br />DISTANCE TO ANY WATER WELLS? <br />/f7rL(S <br />CA <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />/Q <br />2Y <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />�� <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />!712/1 <br />N <br />CORRECT WIDTH OFA' FRENCHES? <br />Zp ! <br />!$ <br />N <br />CORRECT LENGTH OFAI*rRENCHES? <br />✓ Z p <br />C9 <br />N <br />CORRECT TYPE OF PIPING? <br />Ula 3J- <br />Q <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER LS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDA <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />Y <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT <br />TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: A/ft h4r- , DATE: s//G//S- <br />
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