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SR0082326
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082326
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Last modified
7/29/2020 3:50:44 PM
Creation date
7/29/2020 2:50:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082326
PE
4210
FACILITY_NAME
9345 W LORRAINE RD
STREET_NUMBER
9345
Direction
W
STREET_NAME
LORRAINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24806001
ENTERED_DATE
7/15/2020 12:00:00 AM
SITE_LOCATION
9345 W LORRAINE 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: !-> PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER 4—P if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Z (7 N <br /> DISTANCE TO FOUNDATION? ,C © N <br /> DISTANCE TO PROPERTY LINE? I r-f N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? r/ © N <br /> SANITARY TEES CORRECTLY INSTALLED? 0 N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? L/ N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? `/ 5/ g N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ ©Y N <br /> IS D-BOX LEVEL? I/ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? YO N <br /> DISTANCE TO ANY WATER WELLS? 1/ ��r7/ N <br /> DISTANCE TO NEAREST FOUNDATION? 15/ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 10/ N <br /> CORRECT DEPTH OF LL TRENCHES? `/ 4111, N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y/ 1$// N -2 (j i vlr� bv�0 I art-411A <br /> CORRECT WIDTH OF LL TRENCHES? �� OY N <br /> CORRECT LENGTH OF LL TRENCHES? SS N <br /> CORRECT TYPE OF PIPING? 5D{Z 2, N <br /> OTHER Y N <br /> SEEPAGE PITS: M s <br /> DISTANCE TO PROPERTY LINE? S/ N <br /> DISTANCE TO ANY WATER WELLS? J D� LJ N <br /> DISTANCE TO NEAREST FOUNDATION? - > ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? to/ N <br /> CORRECT DEPTH AND TYPE OF ROCK? 8/ N ] Zl f'A jrCLy "CC4 r oj_ fi 22, <br /> CORRECT WIDTH? ! N <br /> OTHER Zy 1 © N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> Soi� (S Odl <br /> nid <br /> I <br /> INSPECTED BY: �q DATE: -711-112024D <br />
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