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SR0081954
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081954
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Last modified
5/28/2020 2:59:24 PM
Creation date
5/28/2020 2:51:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081954
PE
4211
FACILITY_NAME
6476 LORAMAR LN
STREET_NUMBER
6476
Direction
W
STREET_NAME
LORAMAR
STREET_TYPE
LN
City
TRACY
Zip
95304
APN
25013018
ENTERED_DATE
4/6/2020 12:00:00 AM
SITE_LOCATION
6476 W LORAMAR LN
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: Lg c ( PERMIT# Q , <br /> Check box TUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Q , �J N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? S D'� (� N <br /> TANK VENTED? L CY N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 12-r U N <br /> DISTANCE TO NEAREST LEACH LINE? 5 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? �+ CyD N <br /> DISTANCE TO ANY WATER WELLS? llo I N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? z Y N )-2 (a-'1 VIC Lt n� r C <br /> CORRECT WIDTH OF LL TRENCHES? 2-5 N c� <br /> CORRECT LENGTH OF LL TRENCHES? L/ If ON/ N <br /> CORRECT TYPE OF PIPING? 5 p R -Sc; gY N <br /> OTHER ffj Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y <br /> DISTANCE TO ANY WATER WELLS? �;; 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? 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. 1 ,C� �^, DATE: 4f <br />
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