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SR0079684
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079684
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Last modified
10/25/2018 1:49:16 PM
Creation date
10/25/2018 1:38:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079684
PE
4211
STREET_NUMBER
2361
Direction
N
STREET_NAME
BEYER
STREET_TYPE
LN
City
STOCKTON
Zip
95215
APN
10102240
ENTERED_DATE
9/24/2018 12:00:00 AM
SITE_LOCATION
2361 N BEYER LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIG SYSTEM INSPECTION GHECK LIST <br />INSPECTED BY: / � DATE: <br />2c� <br />ADDRESS: Jr PERMIT # r , <br />Check box ACTUAL MEETS SJC 1 <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 />CORRECT TYPE OF PIPING? <br />TANK VENTED? <br />ANY. TANK ABNORMALITIES NOTED? <br />OTHER <br />� � <br />N <br />N <br />Y N <br />�� N <br />N <br />Y N 711111 <br />CL�� - j N <br />Y N <br />Y N <br />Y N <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 />N <br />N <br />C Y N <br />Y N <br />Y N <br />LEACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE?' <br />DISTANCE TO ANY WATER VVELLS? <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 ' <br />/y _� C� .+ CN�1— N <br />N <br />Y N <br />j) Y_ N <br />—� ,L-1;2 N <br />l� „ j��— Y N <br />N <br />N <br />N <br />N <br />` <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 />�G F N <br />�` N <br />(� N <br />N ) <br />Y CNS S r <br />N <br />7ry <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE 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: <br />2c� <br />
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