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SR0082649
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EASTERN HEIGHTS
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21390
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082649
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Last modified
10/19/2020 11:25:47 AM
Creation date
10/19/2020 11:20:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082649
PE
4211
FACILITY_NAME
21390 E EASTERN HEIGHTS RD
STREET_NUMBER
21390
Direction
E
STREET_NAME
EASTERN HEIGHTS
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
10522013
ENTERED_DATE
9/25/2020 12:00:00 AM
SITE_LOCATION
21390 E EASTERN HEIGHTS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Z ` �, J5 LjMp ' PERMIT# 08^ <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? ZS ` — Y N <br /> DISTANCE TO PROPERTY LINE? loZ N <br /> DISTANCE TO ANY WELLS? I27j N <br /> TANK LEVEL AND ORIENTED CORRECTLY? r/ N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? `jb _ N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Cs/ Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? TY N <br /> DISTANCE TO NEAREST FOUNDATION? 1/ Loi— - Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? MLu ()i-f Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y Nenc\ <br /> CORRECT DEPTH AND TYPE OF ROCK? t/ l1 Y N F <br /> CORRECT WIDTH OF LL TRENCHES? 2'11% Y N <br /> CORRECT LENGTH OF LL TRENCHES? 6 Lk' f*j�� C) N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ci1 J~`\ N <br /> DISTANCE TO ANY WATER WELLS? i/ � jS 0 N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ ZS W N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 25 N <br /> CORRECT WIDTH? 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? Y bN <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: ea-L\`ms DATE: CKf 1-6 ujzo <br />
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