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SR0082313
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082313
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Entry Properties
Last modified
8/18/2020 8:21:26 AM
Creation date
8/18/2020 7:55:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082313
PE
4210
FACILITY_NAME
23485 S HANSEN RD
STREET_NUMBER
23485
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20939022
ENTERED_DATE
7/10/2020 12:00:00 AM
SITE_LOCATION
23485 S HANSEN 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: L I PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? ` Y/_ N <br /> DISTANCE TO ANY WELLS? -/Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DIS-ANCE FROM TANK? S i)` N <br /> DIS-ANCE TO NEAREST LEACH LINE? _ 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 /> DIS-ANCE TO PROPERTY LINE? l/ 2-0 + (f) N <br /> DIS-ANCE TO ANY WATER WELLS? I00:�tN <br /> DIS-ANCE TO NEAREST FOUNDATION? (bi Y N <br /> DIS-ANCE OF SOIL BARRIER BETWEEN LL'S? (21 (f) N <br /> CORRECT DEPTH OF LL TRENCHES? q3N � i-»" <br /> CORRECT DEPTH AND TYPE OF ROCK? N I_?f la,',n kj -A jr yp �j ly <br /> CORRECT WIDTH OF LL TRENCHES? / N <br /> CORRECT LENGTH OF LL TRENCHES? too/ N <br /> CORRECT TYPE OF PIPING? S Dr 3� 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 N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF R&C10 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. k4kt� DATE: `7(Q4v/70q-C> <br />
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