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SR0082787
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082787
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Last modified
12/10/2020 4:51:33 PM
Creation date
12/10/2020 3:32:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082787
PE
4211
FACILITY_NAME
27455 S CHRISMAN RD
STREET_NUMBER
27455
Direction
S
STREET_NAME
CHRISMAN
City
TRACY
Zip
95304
APN
24824021
ENTERED_DATE
10/27/2020 12:00:00 AM
SITE_LOCATION
27455 S CHRISMAN
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\fgarciaruiz
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: L PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Q N <br /> DISTANCE TO FOUNDATION? —� Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? 1,� '� N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ® N <br /> SANITARY TEES CORRECTLY INSTALLED, N <br /> CORRECT TYPE OF PIPING? v N <br /> TANK VENTED? ® N <br /> ANY TANK ABNORMALITIES NOTED? Y <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? v5 © N <br /> DISTANCE TO NEAREST LEACH LINE? tj, �' (DN <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 8 N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 2 C) N <br /> DISTANCE TO ANY WATER WELLS? ^ O N <br /> DISTANCE TO NEAREST FOUNDATION? j Y© N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? {^t 0 N <br /> CORRECT DEPTH OF LL TRENCHES? 2$ N <br /> CORRECT DEPTH AND TYPE OF ROCK? r N <br /> CORRECT WIDTH OF LL TRENCHES? j 2 {� N <br /> CORRECT LENGTH OF LL TRENCHES? 0'j) >r (D N <br /> CORRECT TYPE OF PIPING? �_� /�( N <br /> OTHER Y N <br /> SEEPAGE PITS: <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 TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? 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: <br /> INSPECTED BY: Cil�i in�,S«y DATE: ( � <br />
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