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SR0078788
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078788
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Last modified
1/30/2020 11:25:58 AM
Creation date
1/30/2020 10:57:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078788
PE
4215
FACILITY_NAME
1640 N BROADWAY AVE
STREET_NUMBER
1640
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14325012
ENTERED_DATE
2/26/2018 12:00:00 AM
SITE_LOCATION
1640 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: _ <br /> CORRECT TANK CAPACITY? Ed',IS Y 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? 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? 5 -� Y N <br /> DISTANCE TO NEAREST LEACH LINE? 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? S N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? It, S N <br /> DISTANCE OF SOIL BARRIER BETWEEN-L'S? 1:5 u N <br /> CORRECT DEPTH OF LL TRENCHES? ,/ 3% -42 'r W, N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ f 2Ib N <br /> CORRECT WIDTH OF LL TRENCHES? 2 L.+ h, N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? rAZ O N <br /> OTHER Y N <br /> SEEPAGE PITS: -101 c <br /> DISTANCE TO PROPERTYLINE? i YO N <br /> DISTANCE TO ANY WATER WELLS? p w Y N <br /> DISTANCE TO NEAREST FOUNDATION? to Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? (p Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Z Sr4 N 1 —2,,, <br /> CORRECT WIDTH? �� !� p Y 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 ANSWER OVE REQUIRES PERMIT TO BE REDRAWN. _ <br /> COMMENTS: T Q X I <br /> L4 okil0 <br /> 17, ZZZ 1 7 1 — q qsiKS ,L <br /> ✓ , <br /> INSPECTED BY:��/J A DATE: <br />
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