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SR0078746
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078746
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Last modified
6/27/2018 2:04:23 PM
Creation date
3/1/2018 12:04:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078746
PE
4210
FACILITY_NAME
SAMMY COX
STREET_NUMBER
17010
Direction
E
STREET_NAME
FRONT
STREET_TYPE
ST
City
LINDEN
Zip
95236
APN
09113072
ENTERED_DATE
3/1/2018
SITE_LOCATION
17010 E FRONT ST
RECEIVED_DATE
2/14/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />11 ADDRESS: J-20 //) C. • PERMIT # A 121%^ 7L/7- 11 <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />/Slit/ 47 N <br />DISTANCE TO FOUNDATION? <br />y /T 1:0 N <br />DISTANCE TO PROPERTY LINE? <br />-f- ?) N <br />DISTANCE TO ANY WELLS? <br />Y N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />CORRECT TYPE OF PIPING? <br />sn� 3� N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? Y N <br />DISTANCE TO NEAREST LEACH LINE? Y N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br />IS D -BOX LEVEL? Y N <br />OTHER Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />Y N <br />DISTANCE TO ANY WATER WELLS? <br />Y N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />Y N <br />CORRECT DEPTH OF LL TRENCHES? <br />Y N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y N <br />CORRECT WIDTH OF LL TRENCHES? <br />Y N <br />CORRECT LENGTH OF LL TRENCHES? <br />Y N <br />CORRECT TYPE OF PIPING? <br />Y N <br />OTHER <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? Y N <br />DISTANCE TO ANY WATER WELLS? Y N <br />DISTANCE TO NEAREST FOUNDATION? Y N <br />DISTANCE OF SOIL BARRIER TO PITS? Y N <br />CORRECT DEPTH AND TYPE OF ROCK? Y N <br />CORRECT WIDTH? YN <br />OTHER Y 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: AAA"-��,� <br />DATE: - � z4 r f-ui I <br />J <br />
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