My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0081695
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
J
>
JACK TONE
>
16046
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0081695
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/12/2020 8:56:59 AM
Creation date
3/11/2020 4:30:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081695
PE
4214
STREET_NUMBER
16046
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05304003
ENTERED_DATE
1/31/2020 12:00:00 AM
SITE_LOCATION
16046 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 0 L1 ` PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �r 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 Ed Y N <br /> DISTRIBUTION BOX: r <br /> DISTANCE FROM TANK? _ N � �yjt- <br /> et<(3L1ZQ CA/ 0oO <br /> DISTANCE TO NEAREST LEACH LINE? _ -� N 40 <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? C22C S � N <br /> DISTANCE TO ANY WATER WELLS? r- L.J N <br /> DISTANCE TO NEAREST FOUNDATION? f -r C N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? CD N <br /> CORRECT DEPTH OF LL TRENCHES? — rj (3 N <br /> CORRECT DEPTH AND TYPE OF ROCK? yja �Y N <br /> CORRECT WIDTH OF LL TRENCHES? f 2 (_') N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? l� 2 N <br /> OTHER N <br /> SEEPAGE PITS: r <br /> DISTANCE TO PROPERTY LINE? X s ,S Y N <br /> DISTANCE TO ANY WATER WELLS? 6a N <br /> DISTANCE TO NEAREST FOUNDATION? -5 44 Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? 6 N ' �i� <br /> CORRECT DEPTH AND TYPE OF ROCK? 25 25,S L1 N l—Z,S ;N. —o cry <br /> CORRECT WIDTH? �/� �j n 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 ABOVE REQUIRES ERMIT TO BE REDRAWN. <br /> COMMENTS: p U^ L*,, j Jil <br /> Y ` Go�vi <br /> INSPECTED BY: ^n Al- <br /> In�G, _ _ DATE: /7 /�� <br />
The URL can be used to link to this page
Your browser does not support the video tag.