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SR0082210
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082210
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Last modified
8/20/2020 4:51:59 PM
Creation date
8/20/2020 4:33:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082210
PE
4210
STREET_NUMBER
19710
Direction
N
STREET_NAME
ATKINS
STREET_TYPE
RD
City
LODI
Zip
95240
APN
01919019
ENTERED_DATE
6/17/2020 12:00:00 AM
SITE_LOCATION
19710 N ATKINS RD
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: 19710 PERMIT# S 2 Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: (j rXf yl(l <br /> CORRECT TANK CAPACITY? J 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? YN <br /> SANITARY TEES CORRECTLY INSTALLED? C.-/n N <br /> CORRECT TYPE OF PIPING? 0 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ �p 8�� N <br /> DISTANCE TO NEAREST LEACH LINE? �j Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? One- L` Y NIS D-BOX LEVEL? L DY N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ��� �I <br /> DISTANCE TO PROPERTY LINE? IL N <br /> DISTANCE TO ANY WATER WELLS? r l a AS N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ n b t- r (Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? p _ (� Y N <br /> CORRECT DEPTH OF LL TRENCHES? �� ,z — , !�Y So N N- 5 4Ck4 / <br /> o o V <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ i y�, l_TJ N -Z. %h. ro C <br /> CORRECT WIDTH OF LL TRENCHES? ; 7 gy <br /> N <br /> CORRECT LENGTH OF LL TRENCHES? �� N <br /> CORRECT TYPE OF PIPING? A SSM � N <br /> OTHER Y N <br /> SEEPAGE PITS: n T <br /> DISTANCE TO PROPERTY LINE? N`� �J <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? QQ N <br /> DISTANCE OF SOIL BARRIER TO PITS? L.-- b N <br /> CORRECT DEPTH AND TYPE OF ROCK? � � N ( —Z, S" � ti. �/�O <br /> CORRECT WIDTH? 6 J h N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <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 /> INSPECTED BY: f/ DATE: <br />
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