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SR0080320
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080320
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Entry Properties
Last modified
4/29/2019 10:49:23 AM
Creation date
4/26/2019 11:38:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080320
PE
4210
STREET_NUMBER
11762
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01726026
ENTERED_DATE
3/12/2019 12:00:00 AM
SITE_LOCATION
11762 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: j r- cj PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT 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? 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? \/ J © N <br /> DISTANCE TO NEAREST LEACH LINE? gyy <br /> N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �� N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? ✓ j N <br /> DISTANCE TO ANY WATER WELLS? lql �---� N <br /> DISTANCE TO NEAREST FOUNDATION? '1� OJ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? -- Y N p ���,',�q eaC Q (0 4f <br /> CORRECT DEPTH OF LL TRENCHES? 01 N �— <br /> CORRECT DEPTH AND TYPE OF ROCK? i (D N (,S_2 ;n ►roc <br /> CORRECT WIDTH OF LL TRENCHES? �/ y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? C)Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? V s -� Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? V F{ N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 02 S Y N <br /> CORRECT WIDTH? ?�6 h (Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVEREQUIRESPERMIT TO BE RED <br /> RA <br /> COMMENTS: `X S L r�? �tr ik� Lq tl� d(d e,C Q I r-Uh5 over Oki CO <br /> INSPECTED BY: T n r;0- <br /> a AGklfk&-;a- DATE: <br />
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