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SR0082017
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082017
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Last modified
12/10/2020 4:50:11 PM
Creation date
12/10/2020 3:19:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082017
PE
4211
FACILITY_NAME
5023 E ASHLEY LN
STREET_NUMBER
5023
Direction
E
STREET_NAME
ASHLEY
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08607022
ENTERED_DATE
4/24/2020 12:00:00 AM
SITE_LOCATION
5023 E ASHLEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\fgarciaruiz
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: - 'b L PERMIT# 2- 0(pl) Zvi <br /> heck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Uy V 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? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? 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? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: � <br /> DISTANCE TO PROPERTY LINE? ✓ � t'� G N <br /> DISTANCE TO ANY WATER WELLS? ./ (Y) N <br /> DISTANCE TO NEAREST FOUNDATION? V -77 <br /> Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? L. 1``5 1, )Z lYJ N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? l� Z v-\ Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y 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: -) ` �� I CAWY- <br /> �� S ilk-hre.0 r w`a v ` ✓� c l•� <br /> IL—, U G -P <br /> INSPECTED BY: ` RC1` i V"C1, DATE: 'O I2I,120 2-0 <br />
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