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SR0082922
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082922
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Last modified
3/3/2021 3:02:14 PM
Creation date
3/3/2021 2:56:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082922
PE
4210
STREET_NUMBER
17071
Direction
E
STREET_NAME
BAKER
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09115013
ENTERED_DATE
11/24/2020 12:00:00 AM
SITE_LOCATION
17071 E BAKER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# < pc7 ZZ <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 0,4 G---) N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? n N <br /> DISTANCE TO ANY WELLS? �J -f Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? S N <br /> CORRECT TYPE OF PIPING? (L3Y N <br /> TANK VENTED? _Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: jnQ�►►/ J <br /> DISTANCE FROM TANK? YN ^�rpZ I r4 O �a <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? x N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 6<Z N <br /> DISTANCE TO ANY WATER WELLS? > - © N <br /> DISTANCE TO NEAREST FOUNDATION? �/ 7 to -� Y N L4 <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? L n Y N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ 6 .. Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 'vz _—ZZ '(d-) N �-�r �' ✓t fo <br /> CORRECT WIDTH OF LL TRENCHES? _ LlY7� N <br /> CORRECT LENGTH OF LL TRENCHES? Y V N <br /> CORRECT TYPE OF PIPING? I> N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? nv <br /> �/ �D �� N <br /> DISTANCE TO ANY WATER WELLS? l/ - CD N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? �� _S Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? -F Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <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: o[ O 1 r—oLt i'LG+F r-- urP e-d v <br /> l< El 04A <br /> INSPECTED /�,�/ 7� � DATE: <br />
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