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SR0080941
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080941
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Last modified
9/6/2019 3:40:16 PM
Creation date
9/6/2019 3:04:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080941
PE
4210
STREET_NUMBER
3816
Direction
N
STREET_NAME
HUBBARD
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
08707013
ENTERED_DATE
7/24/2019 12:00:00 AM
SITE_LOCATION
3816 N HUBBARD AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: a PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? V, 00 p N <br /> DISTANCE TO FOUNDATION? it/ Y N <br /> DISTANCE TO PROPERTY LINE? / Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Ir N <br /> SANITARY TEES CORRECTLY INSTALLED? V Y N <br /> CORRECT TYPE OF PIPING? YN <br /> TANK VENTED? Y 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? Y N <br /> IS D-BOX LEVEL? tom' N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �ij N <br /> DISTANCE TO ANY WATER WELLS? \/ o o l �Y N <br /> DISTANCE TO NEAREST FOUNDATION? 15 " © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? 1/ L(Z Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? (R N <br /> CORRECT WIDTH OF LL TRENCHES? N �— <br /> CORRECT LENGTH OF LL TRENCHES? qD1 N <br /> CORRECT TYPE OF PIPING? v S 0 sy N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? O N <br /> DISTANCE TO ANY WATER WELLS? o C) f N <br /> DISTANCE TO NEAREST FOUNDATION? ( p + Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 f l9 N -2,1(2 I y1(.� Ul t�Cl rVCk- <br /> CORRECT WIDTH? V 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: B 2 I <br />
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