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SR0079677
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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17205
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079677
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Entry Properties
Last modified
10/2/2018 1:20:16 PM
Creation date
10/2/2018 1:14:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079677
PE
4211
STREET_NUMBER
17205
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
06510008
ENTERED_DATE
9/21/2018 12:00:00 AM
SITE_LOCATION
17205 E EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHI=CK LIST <br />INSPECTED BY: 1 DATE: <br />ADDRESS: �� PERMIT # - <br />Check box ACTU 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 />DISTANCETOANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANKVENTED? <br />ANY•TANKABNORMALITIES NOTED? <br />OTHER <br />% N <br />--�- N <br />y-�S . N <br />_ / y t Y' N <br />N <br />Y' N <br />j ��! N <br />N <br />Y N <br />Y N <br />_ <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYS LEM HAVE EQUAL DISTRIBUTION? <br />ISD -BOX LEVEL? <br />OTHER <br />�9 <br />Y / N <br />Y N <br />Y N <br />N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEARE-STFOUNDA ION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCI-IES? <br />CORRECT DEPTH AND TYPE OF ROCK?Ll <br />CORRECTWIDTHOFLLTRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />3aV4�' ` Y N <br />- N <br />N <br />N <br />N <br />, > - N <br />� N <br />t�`.� Y N <br />P Y N <br />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 />CORRECTWIDTI-11? <br />OTHER <br />300 VA fi N <br />r Y N <br />_ IN <br />`� - Z Y N <br />" ' N <br />_ Y N <br />✓ <br />L <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: 1 DATE: <br />
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