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SR0078028
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078028
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Last modified
7/17/2019 6:23:58 PM
Creation date
7/17/2019 3:54:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078028
PE
4230
STREET_NUMBER
4858
STREET_NAME
TUDOR ROSE GLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95212
APN
08670014
ENTERED_DATE
8/8/2017 12:00:00 AM
SITE_LOCATION
4858 TUDOR ROSE GLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SI~PTIG SYSTEM INSPEGTJON GI•IEGK LIST } <br /> ADDRESS: PERIVIIT S X00 <br /> Checkbm ACTUAL MEETS sic I I <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMNIENTS <br /> i <br /> SEPTIC TANK: <br /> CORRECTTANICCAPACITY? P1 �20Y N vi <br /> l <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANGETO PROPERTY LINE? Y N <br /> DISTANCETO ANY WELLS? Y N i <br /> TANKLEVEL AND ORIENTED CORRECTLY? V N <br /> SANITARYTEESCORRECTLY INSTALLED? Y N , <br /> CORRECTTYPE OF PIPING? N <br /> TANKVENTED? N <br /> ANYTANKABNORMALITIES NOTED? Y N. <br /> E r vt c > <br /> 0TH R Y N V�+�/ P <br /> DISTRIBUTION BMt:n TQ✓Ik <br /> DISTANCE FROM TANK? Y N r <br /> DISTANCETO NEAREST LEACH LINE? �_ N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> ISD-BOXLEVEL? N <br /> OTHER Y N <br /> LEACH REED: (LL=LEACH LINES) ' <br /> DISTANCETO PROPERTY LINE? Y N <br /> DISTANCE TOANYWATERWELLS? Y N <br /> DISTANCETONEAREST FOUNDATION? Y N – <br /> DISTANCE OF SOIL BARRIER BETWEEN WS? Y N <br /> CORRECT DEPTH OFLLTRENGHES? }« � N <br /> CORRECT DEPTH AND TYPE OF ROCK? I ) _ISI�c� Cyl/ <br /> CORRECTWIDTH OFU_TRENCHES? — 1 Y N <br /> CORRECT LENGTH OFLLTRENCHES? C7, N <br /> CORREGTTYPE OF PIPING? ' ✓ N <br /> OTHER �T Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCETO NEAREST FOUNDATION? Y N <br /> DISTANCE OFSOILBARRIERTOPITS? Y N <br /> ' <br /> GORRECTDEPTHAND TYPE:OFROCK? , r�cl Z <br /> � . N �'•co he.+ f� <br /> CORRECTWIDTH? t� N <br /> OTHER <br /> Ni1SCELLANE0U5: <br /> DOES PERMIT DRAWING IREFLECTACCURATELOCATIONOFSYSTEM? Y N <br /> DOES PERMITDRAWING SHOW SUFFICIENT DETAILTO LOCATE IN FUTURE? Y N <br /> ANYNO ANSWERABOVE REQUIRES PERMITTO BEREDRAINN. <br /> COMMENTS: <br /> i <br /> I <br /> INSPECTED BY: � � DATE: f / I <br />
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