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SR0080738
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080738
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Last modified
11/19/2024 1:58:35 PM
Creation date
7/31/2019 9:20:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080738
PE
4210
STREET_NUMBER
25373
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514207
ENTERED_DATE
6/13/2019 12:00:00 AM
SITE_LOCATION
25373 N HWY 99
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: IBJ F t ,r PERMIT# S1200fqofl3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? �/ 7�n © N <br /> DISTANCE TO PROPERTY LINE? V/ 50" N <br /> DISTANCE TO ANY WELLS? gj N <br /> TANK LEVEL AND ORIENTED CORRECTLY? 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: I <br /> DISTANCE FROM TANK? YN <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? O N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? ✓ 3 b/ Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? (Z/ N <br /> CORRECT DEPTH OF LL TRENCHES? 1(L�- ©Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? YN - z (2 I a aAjYLY <br /> , � <br /> CORRECT WIDTH OF LL TRENCHES? ✓ Y N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ N <br /> CORRECT TYPE OF PIPING? ✓ S(�+e 3 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? \/ ZD' Y N <br /> DISTANCE TO ANY WATER WELLS? J Y N <br /> DISTANCE TO NEAREST FOUNDATION? 3 C) fi Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Z N <br /> CORRECT DEPTH AND TYPE OF ROCK? lJ N ( _Z lL \Vl Gl(Jq ( �►°7 c <br /> CORRECT WIDTH? 3 O 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. DATE: I ZG I 1 <br />
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