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SR0083283
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083283
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Entry Properties
Last modified
6/8/2021 2:33:55 PM
Creation date
6/8/2021 2:26:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083283
PE
4209
FACILITY_NAME
30000-267 KASSON RD
STREET_NUMBER
30000
STREET_NAME
KASSON 4D005
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
80404005
ENTERED_DATE
2/16/2021 12:00:00 AM
SITE_LOCATION
30000 KASSON 4D005 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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SYSTEM INSPECTION CHECK LIST <br />ADDRESS: -\ç ob c) PERMIT # <br />b1/4-k:o - OS ... Check box ACTUAL <br />PARAMETER ,,- if inspected MEASUREMENT <br />MEETS SJC <br />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 />Y-L- c-) 0 ç 3 N <br />N <br />N <br />N <br /> <br />'S N <br /> <br />.-0 N <br />NN <br /> <br />T N <br /> <br />Y N <br />Iv n Q v,),(e„, tO <br />SI <br />1.)c <br />U 1.0 Nc-• 'YU•ke'A JS (.., ir,..-L,L, <br />At-S <br />`J\A-/-3 <br />6-3 Wk-,-• '7-a <br />'-)\,{"/<.- <br />\`.1'q <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 />5 ; NN <br />0 N <br />0 N <br />Y N <br />CD' <br />\A --5 <br />-1\ , le--5 <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <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 />\ N <br />;N <br /> <br />CZ N <br /> <br />, N <br />N <br /> <br />0 N <br />N <br />N <br />N <br /> <br />Y N <br />c &K-Aj V <br />\"c] V• <br />b' ( ..)...)\--rr...4_,TO Lfr---PC ...-- --7 \ 11 6" <br />‘-k`Z)) -2-'*" <br />\ cui <br />.-ko " -' ' C2,U\.4_ \C__. E rx-- vL._,,,_ • <br />' 5 <br />1.30(2,-- -2)() 'Ir-4i1--c" <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 />Yy NN <br />Y N <br />Y N <br />Y N <br />Y N <br />N <br />/ <br />/ <br />/ <br />' <br />/ <br />/V / <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />B N <br />N <br />I <br />'.-t-•,._)-c,..- 0 i.--, . 4- • 0 Ir— P f-L, /10N/1 0,44-A/1 ( ,o04?-)10 nn <br />V.<k_11.,„ t ..__>•.)---c-- ._.-- 4,icc- 4R 'CR -e-- "C "-) I 1 1 to " • <br />_ <br />INSPECTED BY: , DATE: 14 t
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