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SR0084034
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084034
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Last modified
9/13/2021 7:41:40 AM
Creation date
9/9/2021 3:17:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084034
PE
4211
FACILITY_NAME
9354 S PADDON DR
STREET_NUMBER
9354
Direction
S
STREET_NAME
PADDON
STREET_TYPE
DR
City
ESCALON
Zip
95320
APN
20706029
ENTERED_DATE
8/6/2021 12:00:00 AM
SITE_LOCATION
9354 S PADDON DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: rJ Zpq-,9 PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />\ r,p O <br />® N <br />DISTANCE TO FOUNDATION? <br />N <br />DISTANCE TO PROPERTY LINE? <br /><Ilk \ C N <br />DISTANCE TO ANY WELLS? <br />moo' N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />`fib N <br />CORRECT TYPE OF PIPING? <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />' N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />`` i N <br />IS D -BOX LEVEL? <br />`� `cs N <br />OTHER <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />w S ® N <br />DISTANCE TO ANY WATER WELLS? <br />Z, �j N <br />DISTANCE TO NEAREST FOUNDATION? <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 />Z,� - b�'i N <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />m N <br />N <br />CORRECT TYPE OF PIPING? <br />Y N <br />OTHER <br />Y N <br />`9FE6R6J�1.➢SN Lj�\� <br />DISTANCE TO PROPERTY LINE? <br />r �i N <br />r <br />DISTANCE TO ANY WATER WELLS? <br />3 N <br />DISTANCE TO NEAREST FOUNDATION? <br />'jo' N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />S N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />.S N <br />CORRECT WIDTH? <br />-Z `�`� Y N <br />OTHER <br />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 />Q--� <br />S v� <br />�v <br />DATE: <br />J <br />
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