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SR0080221
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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17400
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080221
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Last modified
11/19/2024 4:01:35 PM
Creation date
4/12/2019 9:44:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080221
PE
4210
STREET_NUMBER
17400
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366
APN
24505001
ENTERED_DATE
2/19/2019 12:00:00 AM
SITE_LOCATION
17400 E HWY 120
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: PERMIT# eX00 Z.Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? v gwk 3` N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? %r 'l!b N <br /> CORRECT TYPE OF PIPING? 6D23s ® N <br /> TANK VENTED? �— N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 33 N Slee 0&tz4 v� <br /> DISTANCE TO NEAREST LEACH LINE? S 720 <br /> N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ ^ !ep N <br /> IS D-BOX LEVEL? L� N <br /> OTHER Y N <br /> LEACH FIELD: (LL=L ES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? 10-71 N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BAR BETWEEN-L'S? Y N <br /> CORRECT DEPTH OF TRENCHES? (0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? t„ � S N <br /> CORRECT WIDTH OF/fRENCHES? ✓ 11` ® N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? 8023-1� N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: ��/1_„` � � DATE: <br />
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