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SR0079243
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079243
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Entry Properties
Last modified
7/19/2018 2:04:21 PM
Creation date
7/19/2018 1:35:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079243
PE
4214
STREET_NUMBER
23222
Direction
S
STREET_NAME
LOS PADRES
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
20939012
ENTERED_DATE
6/8/2018 12:00:00 AM
SITE_LOCATION
23222 S LOS PADRES DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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I <br />SEPTIG SYSTEM INSPEGTION GHEGK LIST <br />ADDRESS: PEMT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS / C <br />SEPTICTANK: <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 />CORRECTTYPE OF PIPING? <br />TANKVENTED 7 <br />ANY•TANKABNORMALITIES NOTED? <br />OTHER <br />) <br />N <br />N <br />N , <br />�— Y N� 3 <br />N <br />N /,u <br />N <br />T CYC N <br />Y N <br />Y N <br />✓ <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 />V <br />AY <br />U N <br />N <br />N <br />N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />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 />(V N <br />Y N <br />N <br />l'j .– 2 Y N <br />S Y N <br />Y N <br />Y, N <br />!,�� N <br />SO Z 8 N <br />C 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 />CORRECT WIDTH? <br />OTHER <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE_? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT BE IlTrN. ^ <br />Y N <br />Y N <br />� <br />-' N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />INSPECTED BY: ��{_/ DATE: <br />
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