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SR0080189
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080189
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Last modified
5/14/2020 2:01:12 PM
Creation date
5/14/2020 1:47:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080189
PE
4216
STREET_NUMBER
3817
Direction
E
STREET_NAME
FARMINGTON
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
17314002
ENTERED_DATE
2/8/2019 12:00:00 AM
SITE_LOCATION
3817 E FARMINGTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# 51f(�Q Q <br /> Ch ck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: / <br /> CORRECT TANK CAPACITY? t% BOO W [Y N <br /> DISTANCE TO FOUNDATION? 4Q N <br /> DISTANCE TO PROPERTY LINE? (19 6N <br /> DISTANCE TO ANY WELLS? a we)7 Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? _ N <br /> SANITARY TEES CORRECTLY INSTALLED? ti vvLe „ N <br /> CORRECT TYPE OF PIPING? ✓ §YY <br /> N <br /> TANK VENTED? / N <br /> ANY TANK ABNORMALITIES NOTED? YY N <br /> OTHER CDnC/e a n�C+S l% N ate-�� C <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �/ S 1 N <br /> DISTANCE TO NEAREST LEACH LINE? V S (Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? x �/ N <br /> DISTANCE TO ANY WATER WELLS? - r-1 D Z I N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? :- j N <br /> CORRECT DEPTH OF LL TRENCHES? „., N 130i N 4- IS <br /> CORRECT DEPTH AND TYPE OF ROCK? h Q N ( S T • S,n /m G f. <br /> CORRECT WIDTH OF LL TRENCHES? 2 ( N t <br /> CORRECT LENGTH OF LL TRENCHES? t/ i[ U N <br /> CORRECT TYPE OF PIPING? V, 3 S Q N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ✓ �• J 1 Y� N <br /> DISTANCE TO ANY WATER WELLS? flo vve / Y N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? l✓ N <br /> CORRECT DEPTH AND TYPE OF ROCK? t/ 02 Y N ?. S h {� <br /> CORRECT WIDTH? N <br /> OTHER ✓ - (b Q N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? I Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? LTJ\ N <br /> ANY NO ANSWER BOVE REQUIRES PERMIT TO BE REDRAWN. l �C L e� Slls I <br /> COMMENTS: f yi LA,'(-f e/ C <br /> INSPECTED BY: I /)L_�s// DATE: -1 j-5j/ Q <br />
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