My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0076782
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Z
>
ZUMWALT
>
19950
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0076782
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/2/2018 1:24:17 PM
Creation date
12/1/2017 9:11:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076782
PE
4210
STREET_NUMBER
19950
Direction
E
STREET_NAME
ZUMWALT
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20510008
ENTERED_DATE
2/14/2017 12:00:00 AM
SITE_LOCATION
19950 E ZUMWALT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
FilePath
\MIGRATIONS\Z\ZUMWALT\19950\SR0076782.PDF
QuestysFileName
SR0076782
QuestysRecordID
3337464
QuestysRecordType
12
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: SU <br />PERMIT # <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECTTANKC ACITY? <br />DISTANCE TO FO DATION? <br />DISTANCE TO P OPERTY LINE? <br />DISTANCE TO NY WELLS? <br />TANK LEVE AND ORIENTED CORRECTLY? <br />SANITARY EES CORRECTLY INSTALLED? <br />CORRE TYPE OF PIPING? <br />TANK NTED? <br />ANY ANKABNORMALITIES NOTED? <br />OT R <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />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 />>` <br />S <br />— <br />UG <br />Q <br />N <br />N <br />N <br />N <br />N <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'S1 <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 />G 2 <br />yL' <br />f 8 �� <br />Z <br />lsV' <br />/Y <br />.Y' <br />COY <br />GY <br />---Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />l <br />- <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 />l <br />/, <br />/ <br />% <br />i <br />4' <br />4' <br />LY <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO A SWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMM TS: <br />=y <br />`Y <br />N <br />N <br />INSPECTED BY: DATE: <br />11 <br />
The URL can be used to link to this page
Your browser does not support the video tag.