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SR0081290
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081290
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Last modified
11/26/2019 9:28:29 AM
Creation date
11/26/2019 9:25:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081290
PE
4210
FACILITY_NAME
1110 E FISK RD
STREET_NUMBER
1110
Direction
E
STREET_NAME
FISK
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
17750023
ENTERED_DATE
10/21/2019 12:00:00 AM
SITE_LOCATION
1110 E FISK RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 10 Fr 4. cct PERMIT# 5K M612qO <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? `��1 Y 1 C <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? -7 Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? v- i Df t YY N <br /> DISTANCE TO ANY WATER WELLS? OCl/.t L!J N <br /> DISTANCE TO NEAREST FOUNDATION? 3o/ 0 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? (y / N <br /> CORRECT DEPTH OF LL TRENCHES? rj i Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? <br /> p Q N 1—21(2 jnil,cuQ <br /> CORRECT WIDTH OF LL TRENCHES? 2/ O N �- <br /> CORRECT LENGTH OF LL TRENCHES? i 31 N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: R ' 'I s <br /> DISTANCE TO PROPERTY LINE? /v` Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? 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 /> INSPECTED BY: Volk- DATE: f o (2 Nit <br />
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