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SR0079896
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079896
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Last modified
4/24/2019 3:35:39 PM
Creation date
4/24/2019 2:29:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079896
PE
4210
STREET_NUMBER
20837
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20915019
ENTERED_DATE
11/19/2018 12:00:00 AM
SITE_LOCATION
20837 S HANSEN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADD 17,01% 4530 PERMIT# V-007 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: C - <br /> CORRECT TANK CAPACITY? 'sT'"j 1 Y 1 A k�" <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 <br /> SANITARYTEES CORRECTLY INSTALLED? 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? '—Y N <br /> D[STANCETO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> E <br /> DISTANCE TO PROPERTY LINE? Z^ A� Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCETONEAREST FOU NDAIION? Y N - <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OFL TRENCHES? �/ '39 �' Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OFLHRENmES? r �/ �_2 { Y N <br /> CORRECT LENGTH OF 1-1-4ft 1QaiM? ! Y N <br /> CORRECT TYPE OF PIPING? j( 7,j 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 /> CORRECTWIDTH? Y N <br /> OTHER 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: '�• r 1�(�- 2 `� 5h FIA <br /> s <br />
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