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SR0078595
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078595
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Last modified
6/27/2018 2:04:09 PM
Creation date
3/2/2018 1:44:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078595
PE
4211
FACILITY_NAME
PACHECO, MARCO A
STREET_NUMBER
11550
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10329028
ENTERED_DATE
3/2/2018
SITE_LOCATION
11550 E NORMAN AVE
RECEIVED_DATE
1/8/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: //SSO • o4o& <br />PERMIT# $X& -p <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <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 />&&6 <br />(o i l <br />L �/ <br />r -- <br />® <br />0 <br />® <br />® <br />® <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />V/ <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 />61 �� <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <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 />/Gf� �� <br />3y <br />�G .f- <br />/Z <br />3z" <br />a/v <br />.21 <br />gG i <br />Su/j g� <br />® <br />® <br />C� <br />® <br />0 <br />® <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />17/ <br />7 <br />v" <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 />El <br />Y <br />Y <br />Y <br />Y <br />Y <br />YN <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 4D N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? m N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. 11 <br />COMMENTS: xqs C 70 <br />INSPECTED BY: /A-e��1/ 1/ DATE: <br />
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