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SR0083734
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083734
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Last modified
8/4/2021 4:45:01 PM
Creation date
8/4/2021 4:31:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083734
PE
4210
FACILITY_NAME
19753 SUTLIFF RD
STREET_NUMBER
19753
STREET_NAME
SUTLIFF
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
24912048
ENTERED_DATE
5/20/2021 12:00:00 AM
SITE_LOCATION
19753 SUTLIFF 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: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �,L�Q� N <br /> DISTANCE TO FOUNDATION? ' N <br /> DISTANCE TO PROPERTY LINE? qc N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? y�� N <br /> CORRECT TYPE OF PIPING? �,p 3 Tj Y N <br /> TANK VENTED? ' N <br /> ANY TANK ABNORMALITIES NOTED? p N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? `��� Y N <br /> DISTANCE TO NEAREST LEACH LINE? h' N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? �{y� N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? \1ST N <br /> DISTANCE TO NEAREST FOUNDATION? \c N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? \1—( N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? K N t` <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? `jQT N <br /> CORRECT TYPE OF PIPING? _ N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? <br /> DISTANCE TO NEAREST FOUNDATION? p N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2, N <br /> CORRECT WIDTH? Z(a" N <br /> OTHER �T Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> k✓/ <br /> INSPECTED BY: DATE: <br />
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