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SR0080587
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080587
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Last modified
1/25/2022 4:56:11 PM
Creation date
7/31/2019 9:08:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080587
PE
4214
STREET_NUMBER
4682
STREET_NAME
COSMOS
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08605304
ENTERED_DATE
5/8/2019 12:00:00 AM
SITE_LOCATION
4682 COSMOS DR
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: L4bs E r PERMIT# p <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: , <br /> CORRECT TANK CAPACITY? V N ) �Q� <br /> DISTANCE TO FOUNDATION? C5 V N <br /> DISTANCE TO PROPERTY LINE? ✓ 5 Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? vY N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? 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? 0 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? \/ `J ' Y� N <br /> DISTANCE TO ANY WATER WELLS? Y N C, (A.3 <br /> DISTANCE TO NEAREST FOUNDATION? Z d © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? — Y N <br /> CORRECT WIDTH OF LL TRENCHES? © N <br /> CORRECT LENGTH OF LL TRENCHES? rj Q 0 N <br /> CORRECT TYPE OF PIPING? O N <br /> OTHER Y N <br /> SEEPAGE PITS: _ <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Y N L4 6 11'G [cur <br /> DISTANCE TO NEAREST FOUNDATION? © N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? C� YO N -2 y,1R eh C/1 1, <br /> CORRECT WIDTH? 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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