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SR0078628
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078628
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Last modified
10/17/2019 10:20:02 AM
Creation date
10/17/2019 10:17:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078628
PE
4211
STREET_NUMBER
85
Direction
N
STREET_NAME
SIBLEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10329034
ENTERED_DATE
1/17/2018 12:00:00 AM
SITE_LOCATION
85 N SIBLEY AVE
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: r IV, S,b 4ot PERMIT# 2Q>j 7-073' <br /> g <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? L414' Q7 N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? 17$ V N <br /> TANK LEVEL AND ORIENTED CORRECTLY? -10 N <br /> SANITARY TEES CORRECTLY INSTALLED? 9 N <br /> CORRECT TYPE OF PIPING? dr A hs sL&,110 CD N <br /> TANK VENTED? O N <br /> ANY TANK ABNORMALITIES NOTED? Q) N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? s N <br /> DISTANCE TO NEAREST LEACH LINE? s` N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ - a N <br /> IS D-BOX LEVEL? +4> N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? sZ N <br /> DISTANCE TO ANY WATER WELLS? ' vol N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LL TRENCHES? 3�„to0f'' N <br /> CORRECT DEPTH AND TYPE OF ROCK? l $" ® N <br /> CORRECT WIDTH OF LL TRENCHES? 2' N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? sp(L 3S N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? I I, � N <br /> DISTANCE TO ANY WATER WELLS? 27(q' W N <br /> DISTANCE TO NEAREST FOUNDATION? (pp` 1 N <br /> DISTANCE OF SOIL BARRIER TO PITS? 6',S' N <br /> CORRECT DEPTH AND TYPE OF ROCK? ZS' N <br /> CORRECT WIDTH? N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:f(/AJ,e�� DATE: <br />
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