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SR0083351
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083351
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Entry Properties
Last modified
6/15/2021 1:48:16 PM
Creation date
6/15/2021 1:43:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083351
PE
4214
FACILITY_NAME
23023 N ELLIOTT RD
STREET_NUMBER
23023
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00717010
ENTERED_DATE
3/3/2021 12:00:00 AM
SITE_LOCATION
23023 N ELLIOTT 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: --/„.a7„-s A/ ei,/,-0 --e----1:- re-a PERMIT # Sla agg 33 c I <br />Check box ACTUAL MEETS SJC ....\., PARAMETER '. if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? 'S i k'G i'll <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 9 <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <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 />/ Li 6 -C--/ -Q> N %./ <br />%../- S F —I CD N <br />.../ (D N <br />\----- (O N <br />Y N <br />LEACH FIELD: (LL = LEACH LINESk <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 />----z / 0 -r-1 0 N t./.. <br />%. ..- i Li b it 0 N <br />v"-- --"Lor-4 69 N <br />‘,,-- 1/1(4 N <br />k./- Y N e s, <br />, ,,--„._ / Y N <br />../.. _ t ; l'A — v N <br />\./ C? 6 - N <br />Y N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? (P4) <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 />—7 /0 0 6) N \--"----- <br />I / ^- 1 s a_-6,-E- g N <br />1/. -.." i 0 -----t" N <br />\/- 1.- -F c_t. N <br />\.,---- './..., . .c i & CD N <br />‘.../ '27, b (IA - <---- N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? (3 N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? L.,--V-) N <br />ANY NO ANSWERAOVEIREQUIRES PERM! TO 9.. REDRAWN. 1 ,_ <br />COMMENTS: (-II pi ri 6 A1,2) *cliS co h e c.-6 ...d _ 1 -4 -0 <br />INSPECTED(87 <br />DATE
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