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SR0079619
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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26100
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079619
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Entry Properties
Last modified
11/19/2024 1:58:34 PM
Creation date
9/25/2018 8:53:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079619
PE
4211
STREET_NUMBER
26100
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00512004
ENTERED_DATE
9/10/2018 12:00:00 AM
SITE_LOCATION
26100 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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t <br />' n SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 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 />CORRECTTYPE OF PIPING? <br />TANKVENTED? <br />ANY- TANK ABNORMALITIES NOTED? <br />OTHER <br />DISTANCE TO PROPERTY LINE? <br />/', <br />/ 00 l N <br />N <br />CY-? N <br />1- d�l N <br />�fi N <br />N <br />N <br />j� 3,7 N <br />(ZY�/ N <br />Y N <br />N <br />/i <br />�/ <br />j ( Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISD -BOX LEVEL? <br />OTHER <br />_ Y N <br />N <br />Y N <br />YN <br />N <br />i •r <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />LEACHFIELD: (!.I-=LFACHi_INES) <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 II 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 />6 <br />- <br />Y N <br />�.' Y ' N <br />N <br />N <br />4. �`` Y N <br />_y N : J no, l <br />�_—'--- `mss^) N <br />N <br />Y N <br />Y N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />✓ <br />— <br />N <br />CORRECTWIDTH? <br />�— <br />N <br />SEEPAGE PITS: <br />I ?j <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER WELLS? <br />j ( Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />y' <br />i •r <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />✓— <br />6 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />✓ <br />— <br />N <br />CORRECTWIDTH? <br />�— <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: �\ �' DATE: � C� / f � .' "Ir <br />r <br />
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