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SR0081433
EnvironmentalHealth
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9349
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081433
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Last modified
2/23/2021 9:54:38 AM
Creation date
3/13/2020 4:55:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081433
PE
4210
FACILITY_NAME
9349 E COPPEROPLIS RD
STREET_NUMBER
9349
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10304013
ENTERED_DATE
11/20/2019 12:00:00 AM
SITE_LOCATION
9349 E COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# D <br /> heck box ACTUAL MEETS SJC <br /> PARAMETER > if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? l ^ �7 L 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? 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) <br /> DISTANCE TO PROPERTY LINE? 03 N <br /> DISTANCE TO ANY WATER WELLS? (j V N <br /> DISTANCE TO NEAREST FOUNDATION? �/ �� (D N <br /> DISTANCE OF SOIL BARRIER BETWEEN-L'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? _'l�j� © N <br /> CORRECT DEPTH AND TYPE OF ROCK? SJ`' (� N <br /> CORRECT WIDTH OF LL TRENCHES? v / N <br /> CORRECT LENGTH OF LL TRENCHES? / N <br /> CORRECT TYPE OF PIPING? C� N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? () Y N <br /> DISTANCE TO ANY WATER WELLS? C91 i Y N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ �t`'f Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? k / N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ Z / N l`2'l-1✓'tck c:L,q rt J-�x <br /> CORRECT WIDTH? �/ �'��•�� ) N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: UIJ DATE. 2itell I.� <br />
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