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SR0081117
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081117
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Last modified
10/8/2019 2:07:13 PM
Creation date
10/8/2019 2:02:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081117
PE
4210
FACILITY_NAME
20720 S SUTLIFF AVE
STREET_NUMBER
20720
Direction
S
STREET_NAME
SUTLIFF
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
24915033
ENTERED_DATE
9/5/2019 12:00:00 AM
SITE_LOCATION
20720 S SUTLIFF AVE
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# 4 0 Q <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1666 o.-I Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? j Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 5 W`= '%S S N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 2 N <br /> DISTANCE TO NEAREST LEACH LINE? s Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �/ Y N <br /> IS D-BOX LEVEL? V c9 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? p2 N <br /> DISTANCE TO ANY WATER WELLS? s N <br /> DISTANCE TO NEAREST FOUNDATION? (1� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? to .F Tv' N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ Lf a i N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ ( 2 pq, Y N - 2,5 k, roG�Cf <br /> CORRECT WIDTH OF LL TRENCHES? ✓ (,Z) N <br /> CORRECT LENGTH OF LL TRENCHES? ( N <br /> CORRECT TYPE OF PIPING? �V1 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? VaaY N <br /> DISTANCE TO NEAREST FOUNDATION? V N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? _— Y N <br /> CORRECT WIDTH? _ '>6 ;N. 0 N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y ON <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: EL LA A, <br /> L <br /> INSPECTED BY DATE: <br />
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