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SR0079809
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079809
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Last modified
4/11/2019 12:17:01 PM
Creation date
4/11/2019 12:08:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079809
PE
4210
STREET_NUMBER
4521
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13203010
ENTERED_DATE
10/30/2018 12:00:00 AM
SITE_LOCATION
4521 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: 25 -s '.Y- <br /> CORRECTCORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: �� <br /> DISTANCE FROM TANK? G r 4) N <br /> DISTANCE TO NEAREST LEACH LINE? s-1 '� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? P N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? -6 N <br /> DISTANCE TO ANY WATER WELLS? /So (d- Z9 N <br /> DISTANCE TO NEAREST FOUNDATION? go � N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? - Y N <br /> CORRECT DEPTH OF LL TRENCHES? y/I Z5 N <br /> CORRECT DEPTH AND TYPE OF ROCK? /g"' 'P N <br /> CORRECT WIDTH OF LL TRENCHES? 21 �f N <br /> CORRECT LENGTH OF LL TRENCHES? y S` N <br /> CORRECT TYPE OF PIPING? 6,0/Z N <br /> OTHER Y N <br /> SEEPAGE PITS: �v <br /> c <br /> DISTANCE TO PROPERTY LINE? Zrp R N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? S' -lb N <br /> CORRECT DEPTH AND TYPE OF ROCK? 12� N <br /> CORRECT WIDTH? y Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? jD N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN, <br /> COMMENTS: <br /> INSPECTED BY: iAj*eem, DATE: <br />
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