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SR0082227
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082227
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Last modified
12/15/2020 2:09:36 PM
Creation date
12/15/2020 2:08:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082227
PE
4211
STREET_NUMBER
5559
Direction
E
STREET_NAME
BLACK OAK
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08668021
ENTERED_DATE
6/22/2020 12:00:00 AM
SITE_LOCATION
5559 E BLACK OAK DR
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: Kj,ra PERMIT# 5 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? C) N <br /> DISTANCE TO FOUNDATION? A// N <br /> DISTANCE TO PROPERTY LINE? 1/ o N <br /> DISTANCE TO ANY WELLS? Y N n N��, , prt r}✓pr�Gl <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Q N <br /> CORRECT TYPE OF PIPING? / 5���,!', C� N <br /> TANK VENTED? © N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: / �1 <br /> DISTANCE FROM TANK? (� V N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 26 d N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? 5/ CY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? /7 / ® N <br /> CORRECT DEPTH OF LL TRENCHES? / S�- iR� Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ 2-9 m N abnyC !ni�l f7"i(`* ft L 8 �a / <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? �8/ N <br /> CORRECT TYPE OF PIPING? 314;- N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? / N <br /> DISTANCE TO ANY WATER WELLS? — Y N pyV 11-1)yl / tLi <br /> DISTANCE TO NEAREST FOUNDATION? V, �C,/+ Q N <br /> DISTANCE OF SOIL BARRIER TO PITS? rte/ YO N <br /> CORRECT DEPTH AND TYPE OF ROCK? / Zri 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: DATE: -71 -1 Lo <br />
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