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SR0081694
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081694
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Last modified
3/5/2021 12:47:02 PM
Creation date
3/5/2021 10:54:21 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081694
PE
4214
FACILITY_NAME
3921 HUBBARD AVE
STREET_NUMBER
3921
STREET_NAME
HUBBARD
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
08707058
ENTERED_DATE
1/31/2020 12:00:00 AM
SITE_LOCATION
3921 HUBBARD AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: oZ PERMIT# �l7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? x� Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <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? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: - <br /> DISTANCE FROM TANK. J Y N <br /> DISTANCE TO NEAREST LEACH LINE? N L_ <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? N <br /> DISTANCE TO ANY WATER WELLS? {/ n44 Y N <br /> DISTANCE TO NEAREST FOUNDATION? S © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Oyu2 {�p�i (� N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? VX�� /� Y N <br /> CORRECT WIDTH OF LL TRENCHES? 1� H ^ Y N <br /> CORRECT LENGTH OF LL TRENCHES? v— �j 3 Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? �/ �- {" Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? \/ `7C) (,_Yj N <br /> DISTANCE OF SOIL BARRIER TO PITS? l/ 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 DN <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. �^ <br /> COMMENTS: p lt4 tep� <br /> 2 Ki L �v4S (D 14 J1 <br /> INSPECTED BY: DATE: t L00 V�w <br />
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