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SR0084022
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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SR0084022
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Entry Properties
Last modified
9/13/2021 7:40:28 AM
Creation date
9/9/2021 2:00:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084022
PE
4211
STREET_NUMBER
1262
Direction
N
STREET_NAME
FINE
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09304076
ENTERED_DATE
8/2/2021 12:00:00 AM
SITE_LOCATION
1262 N FINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />UU l - <br />N <br />DISTANCE TO FOUNDATION?�`1 <br />s <br />(J"1 <br />N <br />DISTANCE TO PROPERTY LINE? <br />(y) <br />N <br />DISTANCE TO ANY WELLS? <br />'LSU � <br />&) <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />19 <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />v <br />N <br />CORRECT TYPE OF PIPING? <br />D j j <br />N <br />TANK VENTED ? <br />d`/ <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />OTHER <br />Y <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />/ <br />(', <br />V <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />( <br />- <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />3 <br />N <br />IS D -BOX LEVEL? <br />N <br />OTHER <br />Y <br />CI <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />%7 30 <br />l <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />ti , y <br />© <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />1, <br />Y <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />S <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />OTHER <br />Y <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />SOU / <br />�; <br />V, <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />l% <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />V <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />t 18 <br />N <br />CORRECT WIDTH? <br />�&); <br />by <br />N <br />OTHER <br />Y <br />1 <br />MISCELLANEOUS: <br />, l <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />V <br />N <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE <br />REDRAWN. <br />COMMENTS: <br />INSPECTED BY:�y.,,� 3 r �_��� i DATE: <br />
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