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SR0083056
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083056
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Last modified
2/2/2021 4:20:45 PM
Creation date
2/2/2021 4:06:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083056
PE
4210
STREET_NUMBER
2B36
STREET_NAME
SEQUOIA
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
80202036
ENTERED_DATE
12/23/2020 12:00:00 AM
SITE_LOCATION
2B36 SEQUOIA RD
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: p oo0 u e o o�P PERMIT# 3 d5 6 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? \2p o Y N <br /> DISTANCE TO FOUNDATION? C2 Y N <br /> DISTANCE TO PROPERTY LINE? j,p Y N <br /> DISTANCE TO ANY WELLS? Y N 5 A 1J S O N Q, <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? N Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? S 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? 1��j" Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? ��(���,«i��DUL N <br /> CORRECT WIDTH OF LL TRENCHES? Y N % <br /> CORRECT LENGTH OF LL TRENCHES? 'LL` Y N <br /> CORRECT TYPE OF PIPING? ��j� Y 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �6u��,\(� DATE: <br />
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