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SR0081956
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081956
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Entry Properties
Last modified
5/28/2020 3:00:02 PM
Creation date
5/28/2020 2:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081956
PE
4211
FACILITY_NAME
11325 W LARCH RD
STREET_NUMBER
11325
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21218023
ENTERED_DATE
4/6/2020 12:00:00 AM
SITE_LOCATION
11325 W LARCH 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: Z (,I _� Gmr� C '1 PERMIT# 1(, <br /> Check box AC AL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �''� <br /> CORRECT TANK CAPACITY? (6 b U U N <br /> DISTANCE TO FOUNDATION? 12LI N <br /> DISTANCE TO PROPERTY LINE? i% (o l, `7�J N <br /> DISTANCE TO ANY WELLS? t/ l N <br /> TANK LEVEL AND ORIENTED CORRECTLY? I/ Y N <br /> SANITARY TEES CORRECTLY INSTALLED? V Y N <br /> CORRECT TYPE OF PIPING? I/ L-,D R 3 S (�) N <br /> TANK VENTED? I/ 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? S r`�J 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? �/ U/ gy <br /> N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? / 7 C)/ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? to 1, N <br /> CORRECT DEPTH OF LL TRENCHES? Lr 2 r Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? I F�� N l -2 �L t N ���, -r�i k s 4-2� <br /> CORRECT WIDTH OF LL TRENCHES? iz 215 r S N <br /> CORRECT LENGTH OF LL TRENCHES? / topl� N <br /> CORRECT TYPE OF PIPING? C) (D N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y <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: � � DATE LtI42 C,2 <br />
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