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SR0079250
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079250
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Entry Properties
Last modified
7/19/2018 2:11:02 PM
Creation date
7/19/2018 1:36:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079250
PE
4211
STREET_NUMBER
13796
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
055170070
ENTERED_DATE
6/11/2018 12:00:00 AM
SITE_LOCATION
13796 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT --J <br />*� Check box ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS?I <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 />J 6 00 <br />Ir <br />�, ' <br />a <br />y c' S <br />Ve-5 <br />4 lfo <br />2 S <br />l.% <br />Y <br />® <br />Y <br />1 <br />Q <br />Y <br />N <br />N <br />N <br />N <br />N <br />N , <br />N <br />N <br />N <br />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 />5 L/ <br />rj <br />\105 <br />�/QS <br />0 <br />® <br />�i <br />Y <br />N <br />N <br />N <br />N <br />N <br />✓ <br />✓ <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 />j o p <br />9 77' <br />� <br />oa <br />�j j� 7j S <br />' <br />Y <br />Y <br />Y <br />® <br />'�' <br />Y <br />N <br />N <br />N - <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />✓ <br />✓ <br />SEEPAGE PITS: yam_ <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 />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BY: A ot vi � +� J a I �� DATE: <br />/ �/'/,7,4/h IJ <br />
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