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SR0079864
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079864
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Entry Properties
Last modified
6/12/2019 4:30:33 PM
Creation date
6/12/2019 3:22:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079864
PE
4215
STREET_NUMBER
24221
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25015027
ENTERED_DATE
11/13/2018 12:00:00 AM
SITE_LOCATION
24221 S CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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SEPTIG SYSTEM 1NSPEGTION GHEGK LIST <br /> ADDRESS: G . PERMIT# C'CLII <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPAN Y? l k0 V�1 Y N <br /> DISTANCE TO FOUNDATION? V Y) N <br /> DISTANCE TO PROPERTY LINE? ✓ 7 } N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? V N <br /> SANITARY TEES CORRECTLY INSTALLED? f N , <br /> CORRECT TYPE OF PIPING? �/ � Z�S IN <br /> TANK VENTED 7 Y N <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER }/10 &u, Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DfSTANCETO NEARESTLEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <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 BETWEEN LL'S? Y N <br /> CORRECT DEPTH OFLLTRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OFLl-TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECTTYPE OF PIPING? Y 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? YN <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 REDRAINN. <br /> COMMENTS: <br /> INSPECTED BY:, t�N Q L rS�J DATE: <br />
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