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SR0080271
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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18663
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080271
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Last modified
11/20/2024 9:24:01 AM
Creation date
4/12/2019 9:46:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080271
PE
4216
STREET_NUMBER
18663
Direction
E
STREET_NAME
STATE ROUTE 88
City
CLEMENTS
Zip
95227
APN
01924029
ENTERED_DATE
3/1/2019 12:00:00 AM
SITE_LOCATION
18663 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: { E i PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ++ <br /> CORRECT TANK CAPACITY? 1/ 1 Z O 0 Qj N <br /> DISTANCE TO FOUNDATION? VitN <br /> DISTANCE TO PROPERTY LINE? 1/ N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? fD N <br /> SANITARY TEES CORRECTLY INSTALLED? d N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? v, Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? V © N <br /> IS D-BOX LEVEL? OY N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? \/ b N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? \/ 1 1 N <br /> CORRECT DEPTH OF LL TRENCHES? � N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? 0 N <br /> CORRECT LENGTH OF LL TRENCHES? L to N <br /> CORRECT TYPE OF PIPING? �S D R 3 5 4 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? rj C Q N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 25 (0 N 2 2 Y,c l.•. <br /> CORRECT WIDTH? <br /> v,OTHER f Z.Ilnf ktA Y N <br /> Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 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 /> INSPECTED BY:�� J,_, _ . �]„ DATE: <br />
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