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SR0083355
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ACAMPO
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083355
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Entry Properties
Last modified
4/14/2021 9:51:05 AM
Creation date
4/14/2021 9:22:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083355
PE
4214
FACILITY_NAME
7354 E ACAMPO RD
STREET_NUMBER
7354
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01714043
ENTERED_DATE
3/4/2021 12:00:00 AM
SITE_LOCATION
7354 E ACAMPO 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: <br />PERMIT # <br />PARAMETER <br />Chec box <br />if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />ZQ Q I (D <br />Y <br />Y <br />1 23 <br />Y <br />�� <br />Y <br />�� SG J Y <br />N <br />N <br />N <br />N <br />N <br />N �,S S I ✓iQ <br />N <br />N <br />N <br />N e-, �� <br />P u <br />/ Z <br />Ll� <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />3 S 'f ' <br />L,— <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES)(J('3 <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />KTl <br />r r 1 <br />�/� ✓P a� <br />'� �=� <br />t O Q -F-(- <br />2 + Y <br />Q Y) <br />—:5 ® ;o - Y <br />h ✓p �- Y <br />ri H - c2) <br />5 Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N 40 eV <br />N <br />N <br />N <br />N <br />N <br />�� <br />1/ <br />✓ <br />l/ <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />�/ <br />✓ <br />/ O Y <br />O itY <br />( 2 <br />'a S <br />kj CZ) <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />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 N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: � . l K e*i / _ S -e/ - <br />O 2 � 01- C <br />e.1 ; A5fa 11 <br />S <br />P—d <br />S <br />INSPECTED Br � DATE: <br />G\ <br />
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