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SR0081503
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081503
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Last modified
1/28/2020 9:34:13 AM
Creation date
1/28/2020 9:30:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081503
PE
4218
STREET_NUMBER
5573
Direction
W
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01117052
ENTERED_DATE
12/10/2019 12:00:00 AM
SITE_LOCATION
5573 W WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION ChECK LIST <br /> ADDRESS: S Lu e �,� PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: l <br /> CORRECT TANK CAPACITY? \1-�� (��,\ N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <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? b N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? V N <br /> OTHER J'„ y Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? � �, l� N <br /> DISTANCE TO NEAREST LEACH LINE? Ip N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? �(�� Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N L y(nf 8 eyv3 r) .w;.3 <br /> DISTANCE TO ANY WATER WELLS? Z�p'I,` Y N SAe1.0 4 LO A-n�j. <br /> DISTANCE TO NEAREST FOUNDATION? t j ( ) N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? w�A O N <br /> CORRECT WIDTH OF LL TRENCHES? y Y N �N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? v �� �� Y N <br /> OTHER a� ' Y N 0 Lis A NuS� c PN A C <br /> SEEPAGE PITS: `P <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y 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? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? v�j N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: AVAJ <br /> INSPECTED BY n^ DATE: <br />
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