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SR0078246
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078246
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Entry Properties
Last modified
6/27/2018 2:03:41 PM
Creation date
3/1/2018 4:28:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078246
PE
4231
FACILITY_NAME
HOLLY COMMERCE CENTER LLC
STREET_NUMBER
20500
Direction
S
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
21216010
ENTERED_DATE
3/1/2018
SITE_LOCATION
20500 S HOLLY DR
RECEIVED_DATE
10/11/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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6 <br />U <br />SEPTIC SYSTEM INSPEGTION GHEGK LIST <br />ADDRESS:�' <br />PHpmIT # <br />n d <br />Checkbox ACTUAL ME65SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? GQMMENTS <br />SEPTiG TANK: <br />CORRECT TANKCAPACTIY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING?G <br />TANKVENTED ? <br />ANYiANKABNORMALITIES NOTED? <br />OTHER <br />f -Zi C) Y) <br />l�yj <br />(Y, <br />_ <br />4" Y <br />Y <br />Y <br />N <br />N <br />N <br />N Q C%�'li <br />N <br />N <br />N <br />N <br />N_ <br />N <br />yJ, ACS <br />DISTRIBUTION 130M <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />JSD-BOXLEVEL? <br />OTHER <br />_ <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />)EACH FIELD: (LL =Ed�`TY ;��r <br />DISTANCETO PROPERLINE? <br />DISTANCE TOANYWATERWEIIS? <br />DISTARGETONEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN WS? <br />CORRECT DEPTH OF LLTRENGHES? <br />GORRECTDEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLLTRENGHES? <br />CORRECT LENGTH OF LL T CORRECTTYPEOFPP]NG?ENCNES? <br />OTHER <br />1 W Y � <br />Y <br />j Y <br />Y <br />i <br />" � <br />Y <br />-�'(b <br />S Cyi <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N _ <br />N ► <br />. <br />Vim` <br />S' <br />v3 <br />✓�� <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECTDEPTH AND TYPE OF ROCK? <br />GORREGTWIDTH? <br />OTHER <br />= <br />i <br />' <br />_ <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAINING IkEFLECTACCURATE LOCATION OFSYSTEM? Y <br />DOES PFRMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES P jERMIT TO BE REDRAWN. <br />COMMENTS: - u Cp jjl ta Eivnt* <br />N <br />N <br />ks U <br />S <br />v <br />S �V <br />to <br />INSPEGTED BY: <br />
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