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SR0080747
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080747
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Last modified
7/24/2019 2:36:16 PM
Creation date
7/24/2019 1:55:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080747
PE
4210
STREET_NUMBER
17186
Direction
S
STREET_NAME
CAMPBELL
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22739002
ENTERED_DATE
6/14/2019 12:00:00 AM
SITE_LOCATION
17186 S CAMPBELL AVE
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: - l PERMIT# Lp L, 7 L <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? I0 L1L/ N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? v N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? w N <br /> CORRECT TYPE OF PIPING? ✓ �7(! 2, N <br /> TANK VENTED? li' N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? `�� N <br /> DISTANCE TO NEAREST LEACH LINE? C, 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? Y i <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? �/ `'� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? N Y <br /> CORRECT DEPTH AND TYPE OF ROCK? ( r\ N <br /> CORRECT WIDTH OF LL TRENCHES? t/ a N <br /> CORRECT LENGTH OF LL TRENCHES? A/ L C-7 N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: (!)u,lM <br /> DISTANCE TO PROPERTY LINE? r N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? '-1 c' N <br /> CORRECT WIDTH? f- A.0- /z 0 N <br /> OTHER FI/� E/ ta 01 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 REDRAWN. <br /> COMMENTS: / pt <br /> INSPECTED BY:("'}� � n l^v ��! ? DATE: /' <br />
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