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CO0043361
EnvironmentalHealth
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WALNUT GROVE
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4200 – Liquid Waste Program
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CO0043361
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Last modified
6/10/2019 4:55:25 PM
Creation date
2/13/2019 11:08:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0043361
PE
4200
FACILITY_NAME
NEW HOPE RV PARK & MARINA
STREET_NUMBER
13945
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00104005
ENTERED_DATE
4/26/2017 12:00:00 AM
SITE_LOCATION
13945 W WALNUT GROVE RD
RECEIVED_DATE
4/26/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\W\WALNUT GROVE\13945\CO0043361.PDF
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EHD - Public
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RECEIVED 04/03/2017 10:54AM <br /> Apr 0317,10:00a River Rats Septic 9167762736 p.1 <br /> CERTIFICATE OF SEPTIC INSPECTION <br /> River Rats Septic & Plumbing Services N2 1526 <br /> P.O. Box 365 u Walnut Grove, CA 95690 <br /> 916-776-1600 9 Fax 916-776-2481 <br /> f)wner's Name eyl Aon (--\'4�;;e / // 11Phone o���` �/ ��� <br /> BillingAddress�9'/s Il), Qa- nj (;agR�? gd.r ��l �9- <br /> i <br /> Job Address Escrow# <br /> Date Pumped Capacity Parcel # <br /> TANK CONSTRUCTION <br /> ❑ CEMENT ❑ FIBERGLASS ❑OTHER <br /> CONDITION OF BAFFLE &VENT SPACE <br /> D OK ❑ CEMENT ❑ REDWOOD ❑OTHER <br /> CONDITION OF LIDS <br /> ❑OK ❑ NEEDS TO BE REPLACED O OTHER <br /> CONDITION OFT'S <br /> ❑ OK ❑ NEEDS TO BE REPLACED (TO CODE) ❑ OTHER <br /> SEPTIC TANK & LEACH FIELD CONDITION <br /> ❑ Leach field appears to be working OK at this time. INVOICE <br /> D Leach field shows signs of failure. z <br /> ❑ Liquid level of tank was normal. PUMP SEPTIC =$X <br /> ❑ Liquid level of tank was over tank Ts to lids. <br /> ❑ Necessary repairs made - system OK. <br /> ❑ Imminent Failure - system could fail at any time. HRS./LOCATE D18 UP <br /> O DATE LAST PUMPED. - Q$ P/H =$ <br /> ❑ AS BUILT: LID DEPTH REPAIRS: MEN <br /> HRSJLABOR =$ <br /> MATERIAL =$ <br /> TAX =$ <br /> S y� Q� CAMERA $ <br /> r r — LOCATOR =$ <br /> Recommendations: =$ <br /> v <br /> TOTAL DUE =$ ) as-L <br /> Authorized <br /> Signature: DATE PAID: <br />
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