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SR0082562
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082562
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Last modified
2/2/2021 3:53:43 PM
Creation date
2/2/2021 2:53:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082562
PE
4216
STREET_NUMBER
17800
Direction
S
STREET_NAME
COMCONEX
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20818023
ENTERED_DATE
9/8/2020 12:00:00 AM
SITE_LOCATION
17800 S COMCONEX RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\fgarciaruiz
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# KOO 81QS7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: II (� <br /> CORRECT TANK CAPACITY? l�(/ ag N <br /> DISTANCE TO FOUNDATION? �/' N <br /> DISTANCE TO PROPERTY LINE? Q p N <br /> DISTANCE TO ANY WELLS? —= ���i /.��L J Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? lV N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? 3 <1 N <br /> TANK VENTED? 8 N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER ���' e r�3'� Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? v s -�-� Y N <br /> DISTANCE TO NEAREST LEACH LINE? V Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ( Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ` <br /> DISTANCE TO PROPERTY LINE? 'I (_0Y N <br /> DISTANCE TO ANY WATER WELLS? we Y N <br /> DISTANCE TO NEAREST FOUNDATION? 0 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N _ <br /> CORRECT DEPTH OF LL TRENCHES? �/ +�1�.. l�(� N, Y No�4 q-(; V� �I 'tl-ZN I rb <br /> CORRECT DEPTH AND TYPE OF ROCK? \/ N — 2 S i ✓J . Imo©C,�S <br /> CORRECT WIDTH OF LL TRENCHES? zo f N <br /> CORRECT LENGTH OF LL TRENCHES? 2 Q N <br /> CORRECT TYPE OF PIPING? 3 S Y N <br /> OTHER Y N <br /> SEEPAGE PITS: YO <br /> DISTANCE TO PROPERTY LINE? rW 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? Y N <br /> CORRECT WIDTH? 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 OVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: p��j (� , /1 kke( t/ <br /> Z % iN vie <br /> n O L I 0 <br /> OL 1 Ll- <br /> M I---IZO2 a — -f4 AS �-1 <br /> ti b `k, d-e- o h; I I a✓ , D QW0 iCk <br /> ✓ZS ' <br /> INSPECTED BY: DATE: <br /> � o-,�;�- �---(� n sly,' o� <br />
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