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SR0082020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082020
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Entry Properties
Last modified
11/19/2024 3:48:04 PM
Creation date
9/3/2020 10:11:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082020
PE
4210
FACILITY_NAME
35 E HWY 12
STREET_NUMBER
35
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
02705016
ENTERED_DATE
4/27/2020 12:00:00 AM
SITE_LOCATION
35 E HWY 12
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: Hfwr 2 PERMIT# S p Q 2D ZO <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: r <br /> CORRECT TANK CAPACITY? v X�SNq 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? 0 N <br /> CORRECT TYPE OF PIPING? ^ 5 Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: Jl Q "4 <br /> DISTANCE FROM TANK? 2 N <br /> DISTANCE TO NEAREST LEACH LINE? rj N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? op, Y N <br /> IS D-BOX LEVEL? �Y� N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) Z <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? t/ o -(D N <br /> DISTANCE TO NEAREST FOUNDATION? O N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? VEL LL Y N <br /> CORRECT DEPTH OF LL TRENCHES? .50-5z- ;0- Y +'N. <br /> CORRECT DEPTH AND TYPE OF ROCK? Z ; H _ Q N <br /> CORRECT WIDTH OF LL TRENCHES? Li Y N <br /> CORRECT LENGTH OF LL TRENCHES? �� Y N <br /> CORRECT TYPE OF PIPING? S V N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 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 ROCK? Y N We,Q. Wf $A. <br /> CORRECT WIDTH? Y N �e-9 ;A <br /> OTHER e4 N Pi 2 <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <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 B . ' a���--- DATE: <br />
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