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SR0079689
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EASTERN HEIGHTS
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079689
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Entry Properties
Last modified
11/28/2018 10:52:28 AM
Creation date
11/28/2018 9:33:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079689
PE
4213
STREET_NUMBER
21699
Direction
E
STREET_NAME
EASTERN HEIGHTS
STREET_TYPE
RD
City
LINDEN
Zip
95330
APN
10529021
ENTERED_DATE
9/25/2018 12:00:00 AM
SITE_LOCATION
21699 E EASTERN HEIGHTS 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 CHECK LIST <br /> ADDRESS: r PERMIT# (� <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER Vinspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1�( VY) N <br /> DISTANCE TO FOUNDATION? �- Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCH TO ANY WELLS? � , Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? (2,�) N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N , <br /> CORRECTTYPE OF PIPING? N <br /> TANK VENTED? N <br /> ANY•TANKABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX <br /> DISTANCE FROM TANK? N r <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �� N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL- ES) <br /> DISTANCE TO PROPERTY UNE? � N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N dIRQj� jYj J P4S I <br /> CORRECT DEPTH OF L_TRENCHES? b <br /> -7 F1 <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECTWIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? -- N <br /> CORRECTTYPE OF PIPING? Y N <br /> OTHER — Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N aIJ ( - r <br /> V <br /> CORRECTWIDTH? (�7) N e h/ 7 S <br /> �`� X OG � <br /> OTHER <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECTACCURATE LOCATION OFSYSTEM? 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 /> I Am Ah ia-c <br /> c <br /> INSPECTED BY: j DATE; �o <br /> U C Q <br />
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