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SR0081397
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081397
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Last modified
1/6/2020 2:19:16 PM
Creation date
1/6/2020 2:11:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081397
PE
4211
FACILITY_NAME
23836 N PEARL RD
STREET_NUMBER
23836
Direction
N
STREET_NAME
PEARL
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00727002
ENTERED_DATE
11/14/2019 12:00:00 AM
SITE_LOCATION
23836 N PEARL 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: 3 PERMIT# s P40 $ 3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ^ _ <br /> CORRECT TANK CAPACITY? L Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? \/ O— i e:00wi N tO o A 8;A60/X,6/j <br /> TANK LEVEL AND ORIENTED CORRECTLY? \/ Y N <br /> SANITARY TEES CORRECTLY INSTALLED? N lA/ p G;w <br /> CORRECT TYPE OF PIPING? �/ s 4�5 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? q, s-C4 -G) N <br /> DISTANCE TO NEAREST LEACH LINE? �/ 5 ,F' Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? � ) '� Y� N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ CD <br /> Y N j�121 r S <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? \/ N e <br /> CORRECT DEPTH OF LL TRENCHES? �� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? NCORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? �/" N <br /> CORRECT TYPE OF PIPING? ItIt N <br /> OTHER Y N <br /> SEEPAGE PITS: C I <br /> DISTANCE TO PROPERTY LINE? S . J '�'r 7 N <br /> DISTANCE TO ANY WATER WELLS? N JVO k t74 U J1 ✓k e <br /> DISTANCE TO NEAREST FOUNDATION? ✓ N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N 1 —',z•S 1 h r—O L <br /> CORRECT WIDTH? , Y <br /> j N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? © N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? (� N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. v <br /> COMMENTS: <br /> INSPECTED BY: / / i � DATE /�/ I <br />
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