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SR0081138
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081138
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Last modified
1/7/2020 4:46:05 PM
Creation date
1/7/2020 4:43:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081138
PE
4210
STREET_NUMBER
4080
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00515021
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
4080 E EMERSON 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: /Sorj PERMIT# —>,--v^0gll 3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: {{�� <br /> CORRECT TANK CAPACITY? ''106 N <br /> DISTANCE TO FOUNDATION? �)`� . Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? N 50 -F+ ow wea yw-,y l- 14J <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ �J/ N Lti <br /> CORRECT TYPE OF PIPING? Lj S N <br /> TANK VENTED? / CY 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? �/ Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? + N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ • Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? ✓ (� N 77lC / <br /> CORRECT LENGTH OF LL TRENCHES? j _ 5 Q N <br /> CORRECT TYPE OF PIPING? ✓ 2 N <br /> OTHER T Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? \/ e C3y N <br /> DISTANCE TO ANY WATER WELLS? ✓ _ 3 N <br /> DISTANCE TO NEAREST FOUNDATION? N ti 2(0 { -��tr7�r to <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? t/ `S gy N <br /> CORRECT WIDTH? N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWERA OVE QUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: D i LL <br /> INSPECTED BY: � DATE: <br />
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