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SR0081305
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081305
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Last modified
4/7/2020 2:13:04 PM
Creation date
4/7/2020 2:05:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081305
PE
4211
STREET_NUMBER
28486
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23920013
ENTERED_DATE
10/22/2019 12:00:00 AM
SITE_LOCATION
28486 S BIRD RD
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: s . 6 i PERMIT# 5 " 0191-30,c- <br /> Check <br /> 0 ! OCheck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: � f <br /> CORRECT TANK CAPACITY? �(� D'1 N <br /> DISTANCE TO FOUNDATION? 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? 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? 1/ V N <br /> DISTANCE TO ANY WATER WELLS? f a N <br /> DISTANCE TO NEAREST FOUNDATION? By N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ( Y N <br /> CORRECT DEPTH OF LL TRENCHES? L10 i Y!_ (JY N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 j 11. C�o N I/4 C-icf <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? O N <br /> CORRECT TYPE OF PIPING? D 2 V N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? v' 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? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: S 4&,it / wol� I L C r- ( VL o- l <br /> 01 w, -i e b '014 <br /> C� <br /> S L is <br /> INSPECTED BY. DATE: <br /> p�.riaonS� �� <br />
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