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SR0083182
EnvironmentalHealth
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CARROLTON
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20991
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083182
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Last modified
6/8/2021 2:13:22 PM
Creation date
6/8/2021 2:05:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
SR0083182
PE
4210
STREET_NUMBER
20991
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24513049
ENTERED_DATE
1/21/2021 12:00:00 AM
SITE_LOCATION
20991 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 2.04ii I CA r COMA ad. 12.1%pary CA • PERMIT # Se490 ii5 31g2, <br />Check box ACTUAL MEETS SJC <br />PARAMETER '.. if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? ‘ISTat 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? NM' ••• 0, iva N <br />TANK VENTED? Y N <br />ANY TANK ABNORMALITIES NOTED? Y N <br />OTHER Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? Y N <br />DISTANCE TO NEAREST LEACH LINE? 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? I cN <br />DISTANCE TO ANY WATER WELLS? N <br />DISTANCE TO NEAREST FOUNDATION? I N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br />CORRECT DEPTH OF LL TRENCHES? 1 k.• 2-5 N 1 <br />CORRECT DEPTH AND TYPE OF ROCK? 1 Y N <br />CORRECT WIDTH OF LL TRENCHES? N <br />CORRECT LENGTH OF LL TRENCHES? IA 1 N <br />CORRECT TYPE OF PIPING? p 2:7- 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? Y 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: <br />INSPECTED BY: A c DATE: 0 k
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