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SR0080589
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080589
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Last modified
7/31/2019 9:10:42 AM
Creation date
7/31/2019 9:08:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080589
PE
4213
STREET_NUMBER
18370
Direction
N
STREET_NAME
ATKINS
STREET_TYPE
RD
City
LODI
Zip
95240
APN
01920009
ENTERED_DATE
5/8/2019 12:00:00 AM
SITE_LOCATION
18370 N ATKINS 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# SZ66 !�39 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? /rj [' C�(7� © N <br /> DISTANCE TO FOUNDATION? V/ t- nl N FU <br /> DISTANCE TO PROPERTY LINE? v <br /> 3D0/ .f- gY N <br /> DISTANCE TO ANY WELLS? 2—a 6 -f- N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Q N <br /> SANITARY TEES CORRECTLY INSTALLED? V/ (Z) N <br /> CORRECT TYPE OF PIPING? p © N <br /> TANK VENTED? 0 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? 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? v + N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 2 0 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? t oN <br /> CORRECT DEPTH OF LL TRENCHES? 3* ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? — Y N <br /> CORRECT WIDTH OF LL TRENCHES? `/ © N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? �/ 3Q O / 'I— N <br /> DISTANCE TO ANY WATER WELLS? 2001 N <br /> DISTANCE TO NEAREST FOUNDATION? 20 -t- Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? L4 2 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: ��U L ,1. DATE: <br />
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