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SR0084526_SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11250
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2600 - Land Use Program
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SR0084526_SSNL
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Entry Properties
Last modified
5/9/2022 3:10:11 PM
Creation date
12/21/2021 1:04:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084526
PE
2602
FACILITY_NAME
11250 N MICKE GROVE RD
STREET_NUMBER
11250
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05914057
ENTERED_DATE
11/23/2021 12:00:00 AM
SITE_LOCATION
11250 N MICKE GROVE 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 />AUUKtJS: I .:1 �S 5 /� %✓1 /C ic'2 <br />�fJye ,�" c( <br />PERMIT # Sr ot�Q <br />3 <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected 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 />O Ey y� <br />go C-1�'Yj <br />41 ��Y <br />a �-1 <br />C <br />Y <br />Y <br />N <br />N <br />N <br />N ZJ -' <br />N <br />N E <br />N <br />N <br />N <br />N <br />/ <br />,,e,77 -4v t7 G� <br />�/ <br />v <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 />%vZs� GY) <br />S KI a) <br />J <br />Y <br />N <br />N <br />N <br />N <br />N <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 />2 <br />) <br />�_j <br />Y <br />�j� —!� t7 C� <br />( I ,� r Y <br />V1 , <br />() <br />li (� <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />t/ <br />✓ <br />V- <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 />�/ <br />i/ <br />q/ <br />-��t <br />7 (O Y <br />c-Yj <br />C-0 <br />Z h• Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: �. <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM?l <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y1 <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />n <br />UA I t: JJ /^7 <br />
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