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SR0081590
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081590
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Last modified
3/12/2020 8:41:13 AM
Creation date
3/11/2020 4:15:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081590
PE
4209
STREET_NUMBER
4455
Direction
W
STREET_NAME
PINE HAVEN
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
23908069
ENTERED_DATE
1/2/2020 12:00:00 AM
SITE_LOCATION
4455 W PINE HAVEN DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 5" Rhe- Q„V PERMIT# po y/ <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �/ /200 @ N <br /> DISTANCE TO FOUNDATION? v- �' J G) N <br /> DISTANCE TO PROPERTY LINE? 1/ -j ;J , N 4aE, L. <br /> DISTANCE TO ANY WELLS? 1/ p N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N ,4-e-A <br /> CORRECT TYPE OF PIPING? `j i s Y N e X 1 S N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y 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) (�1� <br /> DISTANCE TO PROPERTY LINE? �t S J Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y 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? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. __ /I Q <br /> COMMENTS: X t j iy 7j� o 3�� SG/l ~i Il- /Ie- U D <br /> ✓ 64 Ia S <br /> ca�Z u ka r1l i n <br /> INSPECTED BY: J DATE: <br />
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