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SR0078355
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078355
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Last modified
6/25/2020 3:46:39 PM
Creation date
6/25/2020 10:15:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078355
PE
4211
FACILITY_NAME
SALVADOR GARCIA
STREET_NUMBER
21044
Direction
E
STREET_NAME
MEZA
STREET_TYPE
LN
City
LINDEN
Zip
95236
APN
18336065
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
21044 E MEZA LN
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# 5 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? q0 N <br /> DISTANCE TO FOUNDATION? ( Y N <br /> DISTANCE TO PROPERTY LINE? 2'jj• N <br /> DISTANCE TO ANY WELLS? �/ 3 . N _1 <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N !M NCA S 6-A <br /> SANITARY TEES CORRECTLY INSTALLED? Y N 1/l/ <br /> CORRECT TYPE OF PIPING? S ?jS 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? <br /> DISTANCE TO NEAREST LEACH LINE? 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? N <br /> DISTANCE TO ANY WATER WELLS? UY N <br /> DISTANCE TO NEAREST FOUNDATION? 2 Q N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ( Y N <br /> CORRECT DEPTH OF LL TRENCHES? — LiFj i Vi, 0 <br /> CORRECT DEPTH AND TYPE OF ROCK? ('IA. Y N <br /> CORRECT WIDTH OF LL TRENCHES? L/ 2 _ Y N <br /> CORRECT LENGTH OF LL TRENCHES? S a Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: T <br /> DISTANCE TO PROPERTY LINE? T <YJ N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ N <br /> DISTANCE OF SOIL BARRIER TO PITS? ✓ S l.Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? oZS 1 Q Z 9� Y O <br /> CORRECT WIDTH? `/ y Z �' 10 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 5EQUIRES P RMIT TO BE REDRAWN. <br /> COMMENTS: a ',V( Q 1 AIQ <br /> / 1 <br /> 0416ads'-f 44 _ <br /> ednA 41 KV-0-00, <br /> INSPECTED BY: � %� /���' I � ,� DATE: <br />
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