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SR0082422
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082422
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Last modified
9/1/2020 4:48:37 PM
Creation date
9/1/2020 4:45:13 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082422
PE
4211
STREET_NUMBER
8152
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06113322
ENTERED_DATE
8/5/2020 12:00:00 AM
SITE_LOCATION
8152 E KETTLEMAN 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: 2 PERMIT# flg qZ <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? I OO 010 j CD N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? -(4 N <br /> DISTANCE TO ANY WELLS? f 06 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? \/ N w e uPa/1'F <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? �� Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ -F{ N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? I N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) C <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? t� Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? L Q Y N <br /> CORRECT DEPTH OF LL TRENCHES? �/ —3 6 ; Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? ` LAY N <br /> CORRECT WIDTH OF LL TRENCHES? Ij H Y N <br /> CORRECT LENGTH OF LL TRENCHES? rj l( N <br /> CORRECT TYPE OF PIPING? C N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 6j/ Y N <br /> DISTANCE TO ANY WATER WELLS? 0.F AA4-�oko, 0Y N S 2 4- Dl�l Si <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? --7Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? 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 REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: ��/ � n�n S /� , � DATE: � ���7-0 <br />
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