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SR0080783
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080783
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Last modified
7/24/2019 2:37:24 PM
Creation date
7/24/2019 1:55:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080783
PE
4211
STREET_NUMBER
25752
Direction
S
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23915001
ENTERED_DATE
6/20/2019 12:00:00 AM
SITE_LOCATION
25752 S KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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• SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: S Q PERMIT# D <br /> Check box ACTUAP MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? C( � N <br /> DISTANCE TO FOUNDATION? j / Y N <br /> DISTANCE TO PROPERTY LINE? .{- Y N <br /> DISTANCE TO ANY WELLS? L I 0 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? `/' N <br /> SANITARY TEES CORRECTLY INSTALLED? Cq N <br /> CORRECT TYPE OF PIPING? �/ ,©r� N <br /> TANK VENTED? V/ 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? 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? 2,0 Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? 3 Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? / N <br /> CORRECT DEPTH OF LL TRENCHES? Lill/ ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? \/ Cj N <br /> CORRECT LENGTH OF LL TRENCHES? �(� N <br /> CORRECT TYPE OF PIPING? S p 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? <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <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 REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:�I DATE. <br />
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