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SR0080345
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080345
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Last modified
4/12/2019 10:00:48 AM
Creation date
4/12/2019 9:46:47 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080345
PE
4214
STREET_NUMBER
9360
Direction
N
STREET_NAME
COLE
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08513026
ENTERED_DATE
3/19/2019 12:00:00 AM
SITE_LOCATION
9360 N COLE DR
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# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: x� A ,C.7 <br /> CORRECT TANK CAPACITY? T/ v <br /> / <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? 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? N <br /> DISTANCE TO NEAREST LEACH LINE? Q N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? © N <br /> IS D-BOX LEVEL? ✓ ID N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? r Y N <br /> DISTANCE TO NEAREST FOUNDATION? 2 QY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? YQ N <br /> CORRECT DEPTH AND TYPE OF ROCK? — Y N <br /> CORRECT WIDTH OF LL TRENCHES? 0 YY N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? S 'S 5 r Com'a 0 N <br /> OTHER Y N <br /> SEEPAGE PITS: V M 1 <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> NO WELL- <br /> DISTANCE TO NEAREST FOUNDATION? ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? -0 N 2 1 nG% OWG rbc sill— <br /> CORRECT WIDTH? (2) N <br /> OTHER LT,-- N(a 1-(M \/ 'L5 (� 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: wvk",L' DATE: `� !� <br />
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