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SR0080486
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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26 (STATE ROUTE 26)
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080486
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Last modified
11/20/2024 8:50:22 AM
Creation date
6/12/2019 3:24:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080486
PE
4210
STREET_NUMBER
21361
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
APN
10526009
ENTERED_DATE
4/15/2019 12:00:00 AM
SITE_LOCATION
21361 E HWY 26
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Zf PERMIT# ?e)lY9Cv <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: x.b � <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? a N <br /> DISTANCE TO PROPERTY LINE? (0 ' N <br /> DISTANCE TO ANY WELLS? //3) N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y 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? v7 ble Molly' m N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �r '�D N <br /> IS D-BOX LEVEL? m N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 7i` 3rp N <br /> DISTANCE TO ANY WATER WELLS? voo, // 2D N <br /> DISTANCE TO NEAREST FOUNDATION? 7 ' V N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? P� Y N <br /> CORRECT DEPTH OF LL TRENCHES? tf2 tp N <br /> CORRECT DEPTH AND TYPE OF ROCK? �� N <br /> CORRECT WIDTH OF LL TRENCHES? Z�— N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? , /�-� N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 3S A N <br /> DISTANCE TO ANY WATER WELLS? Ilpp' N <br /> DISTANCE TO NEAREST FOUNDATION? (—p' N <br /> DISTANCE OF SOIL BARRIER TO PITS? 61 ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? ZT% lf7l N <br /> CORRECT WIDTH? 1w N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �y`yL'' DATE: �✓/L�`/ <br />
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