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SR0080672
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080672
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Last modified
7/24/2019 2:26:55 PM
Creation date
7/24/2019 1:53:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080672
PE
4210
STREET_NUMBER
12850
Direction
N
STREET_NAME
HIBBARD
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06324011
ENTERED_DATE
5/28/2019 12:00:00 AM
SITE_LOCATION
12850 N HIBBARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1 t S n y 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? o N <br /> CORRECT TYPE OF PIPING? - j)iL'3 S (3 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: �" <br /> DISTANCE FROM TANK? \/ -T [� N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ S f N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — pV1R L L,- Y N <br /> IS D-BOX LEVEL? 0 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 4sy Y N <br /> DISTANCE TO ANY WATER WELLS? j ( Y N <br /> DISTANCE TO NEAREST FOUNDATION? `. 1 �..�`J( N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? -- Y N <br /> CORRECT DEPTH OF LL TRENCHES? qZ '� N <br /> CORRECT DEPTH AND TYPE OF ROCK? — ✓t ( { ,-� Y N <br /> CORRECT WIDTH OF LL TRENCHES? a N <br /> CORRECT LENGTH OF LL TRENCHES? / (p N <br /> CORRECT TYPE OF PIPING? / ti YY N <br /> OTHER Y N <br /> SEEPAGE PITS: (Z� <br /> DISTANCE TO PROPERTY LINE. li `0 N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? li N <br /> DISTANCE OF SOIL BARRIER TO PITS? S (� N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? ✓ 136 •„n 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: (� n r f� �.� DATE: <br />
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