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SR0082099
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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15543
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082099
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Last modified
11/20/2024 9:24:01 AM
Creation date
8/20/2020 1:32:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082099
PE
4210
STREET_NUMBER
15543
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01917009
ENTERED_DATE
5/19/2020 12:00:00 AM
SITE_LOCATION
15543 HWY 88
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# 20 <br /> eck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ��/ J <br /> (� <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? t Y N <br /> CORRECT TYPE OF PIPING? �/ SIJ ?j Y N <br /> r <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: I <br /> DISTANCE FROM TANK? S `T ® N <br /> DISTANCE TO NEAREST LEACH LINE? S F-F Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? L4- Y N <br /> IS D-BOX LEVEL? C_J N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 0OF Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Ll, Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N ( —_Z_S h <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? C3 N <br /> CORRECT TYPE OF PIPING? d) N <br /> OTHER Y N <br /> SEEPAGE PITS: 15 U YYt <br /> DISTANCE TO PROPERTY LINE? O gy <br /> N <br /> DISTANCE TO ANY WATER WELLS? p + N -� -f (,yt <br /> DISTANCE TO NEAREST FOUNDATION? \� N <br /> DISTANCE OF SOIL BARRIER TO PITS? L/ Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? ; Y N <br /> CORRECT WIDTH? Y N <br /> OTHER L.-► +k 0 (3 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 REQUIRES PERMIT TO BE REDRAWN. J <br /> COMMENTS: S be, W aI -f 4 1 lit. t l 0 <br /> J v- 2f a <br /> u W i <br /> Co - i <br /> INSPECTED BYrD DATE: <br /> 6///ZZ <br />
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