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SR0080901
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080901
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Entry Properties
Last modified
6/14/2021 3:55:46 PM
Creation date
6/14/2021 3:14:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080901
PE
4211
STREET_NUMBER
24575
Direction
N
STREET_NAME
PEARL
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00724004
ENTERED_DATE
7/17/2019 12:00:00 AM
SITE_LOCATION
24575 N PEARL 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: Z y %5(��` <br />PERMIT # 510cVgb d/ <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />ZdOd <br />Q <br />N <br />DISTANCE TO FOUNDATION? <br />V.?y <br />�i <br />N <br />DISTANCE TO PROPERTY LINE? <br />%q'7 <br />N <br />DISTANCE TO ANY WELLS? <br />Q9 t <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />CORRECT TYPE OF PIPING? <br />7 <br />48C se -4 q -y <br />-6 <br />N <br />TANK VENTED ? <br />ISD <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />e <br />® <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />N <br />DISTANCE TO NEAREST LEACH LINE? 0 <br />Z ' <br />v <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />15 <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />77 <br />N <br />DISTANCE TO ANY WATER WELLS? <br />/3 V ' <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />O <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />z <br />V <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />7 <br />C7? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />K <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z <br />b <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />vo <br />Ap <br />'V <br />N <br />CORRECT TYPE OF PIPING? <br />'4> <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />�P <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />v <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />a) <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />Ell <br />Y <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />Y <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: 0-5 S tW Y�&YaD DATE: 7 46 -/ 0 <br />
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