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SR0078646
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078646
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Last modified
11/20/2024 9:09:36 AM
Creation date
3/1/2018 11:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078646
PE
4210
FACILITY_NAME
CHIAPPE FARMS INC
STREET_NUMBER
21706
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215
APN
18333008
ENTERED_DATE
3/1/2018
SITE_LOCATION
21706 E HWY 4
RECEIVED_DATE
1/22/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: DATE: )-/ <br />1•-3 / � ®� <br />ADDRESS: 'Z \ a <br />,nJ <br />PERMIT # $ <br />0 0 <br />Check box ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED ? <br />ANYTANKABNORMALITIES NOTED? <br />OTHER <br />Y N <br />1 N <br />N <br />\) �+ N <br />�Tv N <br />, N , <br />N <br />N <br />Y N <br />Y N <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISD -BOX LEVEL? <br />OWER <br />T— <br />Y N <br />N <br />N <br />Y N <br />N <br />r <br />LEACH RELD: (LL= LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER KNELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OFLLTRENCHES7 <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLLTRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />��_ N <br />N <br />—��„' Y N <br />r N <br />i N yL <br />1 N <br />N <br />N <br />N <br />Y N <br />;s ;yt LL „j <br />vj e' ' <br />,/ <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK?Z <br />CORRECTW101H4 <br />OTHER <br />✓ <br />�j <br />i <br />% <br />�i ' <br />�� <br />4C Z 5 ' <br />N <br />N <br />N <br />Y N <br />N <br />Y N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO RE REDRAWN. <br />COMMENTS: <br />Y N <br />Y N <br />j <br />INSPECTED BY: DATE: )-/ <br />1•-3 / � ®� <br />
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