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SR0079557
EnvironmentalHealth
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TOKAY COLONY
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15151
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079557
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Entry Properties
Last modified
11/16/2018 4:15:45 PM
Creation date
11/16/2018 3:34:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079557
PE
4213
STREET_NUMBER
15151
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06508020
ENTERED_DATE
8/27/2018 12:00:00 AM
SITE_LOCATION
15151 E TOKAY COLONY 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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ADDRESS: <br />PARAMETER <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 />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 />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 />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 />SEPTIC SYSTEM INSPECTION CHECK LIST <br />• o Ka <br />Check box <br />if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? COMMENTS <br />✓ J200 � <br />13 Ste- <br />RJ <br />Y <br />2 Y <br />IV <br />Y <br />2P <br />✓ /fly <br />1n fi'/�i'uli5cs Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />db <br />A( <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />via <br />n e�, hbo V O"L <br />ge— <br />ne�IjA 6ayg E,gaL <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? n N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? GY' N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />I /UeA.414 i/• LAMI .:s /meg `f -aevaL 00,- (WAY hark a -W L• G 1 <br />�jw2r. <br />INSPECTED BY: A4 -f f � � ��� DATE: <br />7.1 <br />'601,101. <br />Y <br />VIA <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />db <br />A( <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />via <br />n e�, hbo V O"L <br />ge— <br />ne�IjA 6ayg E,gaL <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? n N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? GY' N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />I /UeA.414 i/• LAMI .:s /meg `f -aevaL 00,- (WAY hark a -W L• G 1 <br />�jw2r. <br />INSPECTED BY: A4 -f f � � ��� DATE: <br />
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