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SR0082840
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082840
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Entry Properties
Last modified
5/25/2022 1:05:58 PM
Creation date
5/25/2022 12:26:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082840
PE
4211
STREET_NUMBER
27603
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25212002
ENTERED_DATE
11/5/2020 12:00:00 AM
SITE_LOCATION
27603 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />,— PERMIT # p <br />PARAMETER <br />Check box ACTUAL MEETS SJC <br />if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY?Q <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 <br />V <br />/� - rj -��- <br />S 3 Y <br />CY_D <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N VV uPM� <br />N <br />N <br />N <br />N <br />f <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 />I r� <br />�"� YO <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? CX2 <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <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 />I tO 4�4 Y <br />p� Y <br />Y <br />d Q: -YD <br />j y1, Y <br />_ <br />O 4 2 <br />O <br />Y <br />N <br />N <br />N <br />N <br />N <br />N l — �S 1141- ✓� <br />N <br />N <br />N <br />N <br />�� <br />�� <br />l/ <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 />Y <br />Y <br />Y <br />Y <br />Y <br />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? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO COMMENTS: ANSWER ABOVE REQUIRES PERMIT T E REDRA �Oh h u j 1 dICELL <br />N <br />N <br />INSPECTED B A-C <br />n r /�� DATE: /�^�� <br />
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