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SR0079425
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079425
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Entry Properties
Last modified
2/15/2022 3:05:08 PM
Creation date
2/15/2022 2:49:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079425
PE
4211
STREET_NUMBER
9750
Direction
N
STREET_NAME
SHELTON
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09346014
ENTERED_DATE
7/20/2018 12:00:00 AM
SITE_LOCATION
9750 N SHELTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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ADDRESS: <br />PARAMETER <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 />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 />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 />SEEPAGE PITS: I -R ' <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 />SEPTIC SYSTEM INSPECTION CHECK LIST <br />Check box ACTUAL MEETS SJC <br />if inspected MEASUREMENT STANDARDS? COMMENTS <br />CD <br />Y <br />Y <br />f S0fL i 2A <br />c� <br />r <br />Y <br />d� <br />eo <br />Y <br />GY5 f -1 <br />Y <br />Y21, Y <br />d9 <br />.l <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />I <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N jet �> G/l'tt �✓ r .y .� <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <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? 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 />INSPECTED BY: DATE: <br />
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