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SR0083019
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083019
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Last modified
2/2/2021 4:46:11 PM
Creation date
2/2/2021 3:24:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083019
PE
4210
STREET_NUMBER
11891
Direction
E
STREET_NAME
GRAVES
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
22806006
ENTERED_DATE
12/16/2020 12:00:00 AM
SITE_LOCATION
11891 E GRAVES 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: \tg r-aveS RA. Aor,, CK, 336 PERMIT# p j cj <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 120 0 © N <br /> DISIANCE TO FOUNDAI ION? _ 5�� © N <br /> DISTANCE TO PROPERTY LINE? to o N <br /> DISTANCE TO ANY WELLS? ✓ \06 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? d N <br /> SANITARY TEES CORRECTLY INSTALLED? (0 N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? 2 N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? (� 1\ ® N <br /> DISTANCE TO NEAREST LEACH LINE? S Z kk ® N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? c7�v� N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? .r 10 U N <br /> DISTANCE TO ANY WATER WELLS? © N <br /> DISTANCE TO NEAREST FOUNDATION? /® N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 2 V N <br /> CORRECT DEPTH OF LL TRENCHES? 2 A"f, 17\R n N <br /> CORRECT DEPTH AND TYPE OF ROCK? y1�— O N <br /> CORRECT WIDTH OF LL TRENCHES? I/ + N <br /> CORRECT LENGTH OF LL TRENCHES? 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? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �\\��� DATE: \21 ZZ I Zv ZD <br />
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