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SR0081018
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081018
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Entry Properties
Last modified
9/19/2019 2:55:11 PM
Creation date
9/13/2019 9:50:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081018
PE
4210
STREET_NUMBER
4432
Direction
E
STREET_NAME
SHIPPEE
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08540016
ENTERED_DATE
8/9/2019 12:00:00 AM
SITE_LOCATION
4432 E SHIPPEE 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# <br /> C eck box ACTUAL MEETS SJC <br /> PARAMETER , ,y if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? t/ t- Y N <br /> DISTANCE TO ANY WELLS? Od Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? L/ 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? 1-71 Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? fr/ N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �j ey <br /> N <br /> DISTANCE TO ANY WATER WELLS? (00" <br /> 0(' -f- N <br /> DISTANCE TO NEAREST FOUNDATION? S 0 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? 2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? (0 ,L`-�J N -2 �y �,�(1 �iw� LY-L Si Z.e- <br /> CORRECT WIDTH OF LL TRENCHES? `/ `- N <br /> CORRECT LENGTH OF LL TRENCHES? L( Q N <br /> CORRECT TYPE OF PIPING? D R © N <br /> OTHER Y N <br /> SEEPAGE PITS: _ <br /> DISTANCE TO PROPERTY LINE? <br /> DISTANCE TO ANY WATER WELLS? 1)0 f' Y N <br /> DISTANCE TO NEAREST FOUNDATION? 2Q 4- 0 N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2,5 C N ( -2 ('Z I,,l 1,, L 2 <br /> CORRECT WIDTH? ✓ Lig/� (�D 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: <br />
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