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SR0080680
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080680
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Entry Properties
Last modified
8/9/2019 3:25:42 AM
Creation date
8/7/2019 9:58:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080680
PE
4218
STREET_NUMBER
11451
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
LODI
Zip
95220
APN
05907001
ENTERED_DATE
5/30/2019 12:00:00 AM
SITE_LOCATION
11451 N WEST LN
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# !geoo OQO 6 g <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 'I/ (2�C ZOO N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? $Q Y N <br /> DISTANCE TO ANY WELLS? l/ Y N t/T l Ute/ <br /> TANK LEVEL AND ORIENTED CORRECTLY? �/ N y`1 <br /> SANITARY TEES CORRECTLY INSTALLED? N p u MD v&Af <br /> CORRECT TYPE OF PIPING? SG k, l! QN <br /> TANK VENTED? &I N <br /> ANY TANK ABNORMALITIES NOTED? ;Y N I II <br /> OTHER D VC`l PL,(A Alp 3/ V N KnC � <br /> DISTRIBUTION BOX: 1/ -7 <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? QQ �/ Lq Y N <br /> DISTANCE TO ANY WATER WELLS? 2 Q N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ O N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? ✓ -D _p+ N <br /> CORRECT DEPTH OF LL TRENCHES? '30 iH,_ LM;y�, Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? _� ,(k,.p.{'p✓ Y N <br /> CORRECT WIDTH OF LL TRENCHES? 91f H. Y N <br /> CORRECT LENGTH OF LL TRENCHES? . Y N <br /> CORRECT TYPE OF PIPING? 3 V N <br /> OTHER Y N <br /> SEEPAGE PITS: S n s Cog 1 <br /> DISTANCE TO PROPERTY LINEN N <br /> DISTANCE TO ANY WATER WELLS? ✓ 2 Y N <br /> DISTANCE TO NEAREST FOUNDATION? o N <br /> DISTANCE OF SOIL BARRIER TO PITS? t� S Y N <br /> CORRECT DEPTH AND TYPE OF ROC ? (� ,S�'4 N <br /> CORRECT WIDTH? L l 4 Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 0— N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. l /��� _ <br /> COMMENTS: �� ( u C"U)r d !/"�" VI S l� <br /> u r/� <br /> INSPECTED B��! � ��� ` /r��,� DATE: <br />
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