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SR0079217
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079217
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Entry Properties
Last modified
7/19/2018 1:56:56 PM
Creation date
7/19/2018 1:33:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079217
PE
4210
STREET_NUMBER
14095
Direction
S
STREET_NAME
CASTLE
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19712078
ENTERED_DATE
6/5/2018 12:00:00 AM
SITE_LOCATION
14095 S CASTLE RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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•. <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: f L e-a&ele <br />PERMIT # S�7e- z <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY?(��U <br />R� <br />N <br />DISTANCE TO FOUNDATION? <br />j <br />N <br />DISTANCE TO PROPERTY LINE? <br />Lio' + <br />N <br />v <br />DISTANCE TO ANY WELLS? <br />TV <br />N <br />VA <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />— <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />r <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />N <br />DISTANCE TO NEAREST LEACH LINE? f <br />' <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? f <br />GP <br />N <br />IS D -BOX LEVEL? <br />111 <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />2(? , <br />C,Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />✓ <br />�'�/ ` <br />ZA <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />�/� <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />2 <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />%I <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />),K1,�i <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />V <br />21 <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECT TYPE OF PIPING? <br />��� S <br />C� <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: 104 <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <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 <br />IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: s //n DATE: 6 /Z,—Ilk <br />
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