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SR0083870
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083870
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Entry Properties
Last modified
7/7/2021 4:39:48 PM
Creation date
7/7/2021 4:36:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083870
PE
4211
STREET_NUMBER
12191
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20806024
ENTERED_DATE
6/16/2021 12:00:00 AM
SITE_LOCATION
12191 E LOUISE AVE
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: \ --L, \ .=\. - t Jo .1..,-.-‘ _ \i':. • PERMIT # s?.... ob 91 -1--0 <br />PARAMETER <br />Check box ACTUAL <br />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 />vl., OC)Vsk () <br />0 <br />% <br />t <br />Z <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />\,/ <br />\I Si <br />\.1 <br />\I Jk— %.4.0a 1:2° <br />\I \-1C---S <br />\\f Njl <br />\r ---Vc,5 <br />"-•“:4-, <br />\I 1,-D (0 <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 />51 <br />Y <br />N <br />N <br />N <br />N <br />N <br />s\J <br />\ k-.51 <br />\\/- Lkiv-G-, <br />\,/ ''4C- <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 />\\O <br />ki 0 <br />q <br />% <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />\I <br />'N.I NE:tiD ' 49- <br />\\f <br />\\I \„t.. <br />\I .enVo i <br />\I N <br />.2..'-‘1 /4 <br />N.4),` I-NO .\- <br />\I 5V-- ' %) <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 />\ n o ' Cb <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />x\i s. A.0 qc> ' k_ <br />-\\1 <br />\I - 1—N)\ \ <br />\I Ci <br />NQ 1).-1: \ yz...k14 A ,.,f <br />..l\t` <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 />N <br />N <br />INSPECTED BY: 010:55y.\. DATE:
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