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CO0054114 (2)
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4300 - Water Well Program
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CO0054114 (2)
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Last modified
3/24/2022 2:15:08 PM
Creation date
3/24/2022 2:01:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
CO0054114
PE
4300
STREET_NUMBER
20837
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20915019
ENTERED_DATE
8/4/2021 12:00:00 AM
SITE_LOCATION
20837 S HANSEN RD
RECEIVED_DATE
8/4/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />y N <br />Y N <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 DEP1H AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />INSPECTED BY: <br />tA61A,Gct <br />DATE: • in [tlIS <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REELECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: 19" <br />Y N <br />Y N <br />YcIL apt- tel4Act Cc v%k-4/ 111 <br />— <br />\ IC r I fl . I <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 'In S Zy------i----lafvSe_r—ir-fer- PERMIT # 5g,00 7.1. ?I; <br />. Check box ACTUAL MEETS SJC <br />PARAM E I ER if Inspected MEASUREMENT STANDARDS? COMMENTS • <br />SEPTIC TANK: <br />_ • <br />CORRECT TANK CAPACITY? Or 1ST i-/1 /4) C.. Y \ A k . <br />DISTANCE TO FOUNDATION? Y N <br />DISTA.NCE TO PROPERTY LINE? Y N <br />DISTANCE TO ANY WELLS? Y N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? N' <br />CORRECT TYPE OF PIPING? Y N <br />TANK VENTED? Y N <br />ANY. TANK ABNORMALMES NOTED? . Y N <br />/...-.e OTHER Y <br />_ <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? \,, 1 l't ---t- ,,,y_,:, N •C <br />DISTANCE TO NEAREST LEACI i LINE? V/ -•f t N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br />IS D-BOX LEVEL? Y N <br />OTHER Y N <br />—T-EA14.111 -_ALI I UNEfr p H tie <br />DISTANCE TO PROPERTY LINE? N <br />DISTANCE TO ANY WATER WELLS? 4'— . ay., , , N <br />DISTANCE TO NEAREST FOUNDATION? / N -, <br />DISTANCE OF SOIL BARRIER BETWEEN WS? Y N <br />CORRECT DEPTH OF LL TRENCHES? , 3Cs " Y N <br />CORRECT DEPTH AND TYPE OF ROCK? Y N <br />CORRECT WIDTH OF li-fRE-NCEIES? I & /* raq• . Y N <br />g CORRECT LENGTH OF LL-TRINCRES? . B V.* 62. Y N <br />_ <br />CORRECT TYPE OF PIPING? 7 3V-7, -5 C tlic11 4400) N ,') <br />OTHER Y N
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