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SR0083334
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083334
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Last modified
6/15/2021 3:42:30 PM
Creation date
6/15/2021 2:53:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083334
PE
4211
FACILITY_NAME
9750 N SHELTON RD
STREET_NUMBER
9750
Direction
N
STREET_NAME
SHELTON
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09346014
ENTERED_DATE
2/25/2021 12:00:00 AM
SITE_LOCATION
9750 N SHELTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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ADDRESS: 3 7- A/ s/Ad-b ej <br /> <br />PERMIT # /2--0 0 3 33 <br /> <br />PARAMETER <br />Check 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 />(660 9 4.,1 C4D N _______ Y N 1-st'l <br />5 -C--f- N <br />N <br />N <br />krti—CS; '44H/Aipkge-Y I 0 Ihi-S S ik49 <br />cDrLS <br />Y N <br />Y N <br />x./ <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <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 />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 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 />lits L.D t <br />.S -Ft - to•C-1-- <br />-36 ; <br />-2-1-3310 - 2. i - <br />V_ric <br />+4- arliy <br />2 fr? rioc-r 9 ) <br />/VD --30:7 0 <br />/ y <br />0 Y <br />l••••"-- <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 /> N <br />N <br />ir2serbc. <br />- Pen <br />DATE: / <br />77r97/ <br />INSPECTED BY <br />-toseein s <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />0-54 <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />g. Po on --s; (214A-11 /4- <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: A. H <br />FSS ., kli <br />C-41V1 Plj4-1 <br />giV-e— -14- I <br />1411;ke--:ez
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