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SR0081331
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081331
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Last modified
1/6/2020 2:09:38 PM
Creation date
1/6/2020 2:07:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081331
PE
4210
FACILITY_NAME
12750 N LOWER SACRAMENTO RD
STREET_NUMBER
12750
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05809006
ENTERED_DATE
10/28/2019 12:00:00 AM
SITE_LOCATION
12750 N LOWER SACRAMENTO 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: j'Z i.o v z ir (c ,C PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER 9inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �� Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y <br /> DISTANCE TO ANY WELLS? �; 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? L{Tj N <br /> DISTANCE TO NEAREST LEACH LINE? 77 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? 2, Y N <br /> DISTANCE TO ANY WATER WELLS? / 4 O N <br /> DISTANCE TO NEAREST FOUNDATION? IV 'n' }— N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? j Qj Y N J—2 (2- <br /> CORRECT WIDTH OF LL TRENCHES? ;/ Z Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? 6y) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? �/ 2`? I N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? 151 Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? G LJ FY <br /> N j — Z i rlGI1 (byY ' ri V SJ2& <br /> CORRECT WIDTH? j 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 1 j 1 <br />
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