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4200/4300 - Liquid Waste/Water Well Permits
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SR0081236
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Last modified
10/22/2019 9:25:21 AM
Creation date
10/22/2019 9:22:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081236
PE
4210
STREET_NUMBER
698
Direction
S
STREET_NAME
PATRICK
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10308002
ENTERED_DATE
10/7/2019 12:00:00 AM
SITE_LOCATION
698 S PATRICK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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1 . <br /> SEPTIC SYSTEM INSPECTION CHECK LISA' <br /> ADDRESS: ' ' ; ! PERMIT <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: ; <br /> CORRECT TANKCAPACIIY? �i , C)0 _ Y N <br /> DISTANCE TO FOUNDATION? / 2 ' N <br /> DISTANCE TO PROPERTY LINE? � N <br /> DISTANCF TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? `; �i N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N !✓�� v 1'i�f�� jr jAj <br /> CORRECT TYPE OF PIPING? j�q? ?a� Y' N —� <br /> TANK VENTED 7 ��— Y N <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? ? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y J N <br /> IS O-BOX LEVEL? y J N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) '�` <br /> DISTANCE TO PROPERTY LINE? 0 LY/) N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Q {- Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? f 1 N <br /> CORRECT DEPTH OF LL TRENCHES? 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? S �� 7�%Z N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? ,�,-�� t N <br /> DISTANCE OF SOIL BARRIER TO PITS? T Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? — N 1 , f Yl <br /> CORRECTWIDTH? 'S " 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: I ` / <br /> ` (C <br /> V <br />
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