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SR0081116
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081116
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Last modified
10/17/2019 10:20:53 AM
Creation date
10/17/2019 10:17:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081116
PE
4211
STREET_NUMBER
21191
Direction
E
STREET_NAME
AVENA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20522010
ENTERED_DATE
9/5/2019 12:00:00 AM
SITE_LOCATION
21191 E AVENA RD
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: 1 \v\ C PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? l/ Cx' ��" Y N <br /> DISTANCE TO PROPERTY LINE? —°' f Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? �/ y�`> Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? lk SO 29 Y N <br /> TANK VENTED? y Y N <br /> ANY TANK ABNORMALITIES NOTED? Q i V� Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �/ U J Y N <br /> DISTANCE TO NEAREST LEACH LINE? �p Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ,/ `i k Y N <br /> IS D-BOX LEVEL? (!� Y N 1ti a c <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? `�\�� Y N <br /> DISTANCE TO ANY WATER WELLS? R Y N <br /> DISTANCE TO NEAREST FOUNDATION? 1 Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN-L'S? _��' Y N <br /> CORRECT DEPTH OF LL TRENCHES? c� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? \�� Y N <br /> DISTANCE TO ANY WATER WELLS? k I R Y N <br /> DISTANCE TO NEAREST FOUNDATION? 0A Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? 0� ` ` �' Y N J <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N , <br /> CORRECT WIDTH? y Y 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 /> !J�- T T u� �� - C-5 r�OS F <br /> L LQ 0 lc- N V tit M f it, f- <br /> - o uL - u.► - GTN 6A�JA � <br /> Sot uk v 6prlLlqjLo(+, <br /> INSPECTED BY: DATE: <br />
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