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SU0012580 (2)
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QX-91-0006
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SU0012580 (2)
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Last modified
12/20/2019 9:18:14 AM
Creation date
12/20/2019 9:12:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012580
PE
2656
FACILITY_NAME
QX-91-0006
STREET_NUMBER
8500
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09345001, 09345005
ENTERED_DATE
10/2/2019 12:00:00 AM
SITE_LOCATION
8500 N WAVERLY RD
RECEIVED_DATE
9/30/2019 12:00:00 AM
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: ) C� ,(�. (�, L ?>c A'> n % 7v' PERMIT# <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? ✓ N <br /> DISTANCE TO PROPERTY LINE? ✓ ?lcl N <br /> DISTANCE TO ANY WELLS? ✓ 7 tri` N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? I/ 6) 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? N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ -_', __ N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? ✓ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? v N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ /f-f yi' D N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ✓ C >>' N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? GZ° Y N <br /> CORRECT WIDTH OF LL TRENCHES? J '7 '. 'U N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER, Y N <br /> DISTANCE TO PROPERTY LINE? ✓ �C�tY�` �l N <br /> DISTANCE TO ANY WATER WELLS? ,i Gx C% Z N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? l� Z ' 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 /> DATE: <br /> INSPECTEDB <br />
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