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SR0078720
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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25651
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078720
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Last modified
11/19/2024 1:58:34 PM
Creation date
3/2/2018 1:52:45 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078720
PE
4215
FACILITY_NAME
LAURA PETERS
STREET_NUMBER
25651
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514120
ENTERED_DATE
3/2/2018
SITE_LOCATION
25651 N HWY 99
RECEIVED_DATE
2/9/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LISW <br />INSPECTED BY: ���� <br />DATE: <br />C- <br />iTt,, <br />_v <br />ADDPERMIT 9 t. <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECTTANKCAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCR TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED? <br />ANY•TANKABNORMALITIES NOTED? <br />OTHER <br />Y N / <br />Y N _ <br />Y N <br />Y N_---- + <br />-f--'N <br />Y N , <br />/-' Y N <br />Y N _ <br />Y N <br />Y N <br />DISTRIBUTION BOX: 01 *� <br />DISTANCE FROM TANK? *1 <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />j <br />Y, N <br />j 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 BET WEEN LL'S? <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 />% y I_ N <br />� � � + Y N <br />Y N <br />IV - Y N <br />J� Y N <br />7 t t d Ya ' N <br />N _ <br />N _ <br />Y N <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 />CORRECTWIDTH?_ <br />OTHER <br />Y N <br />�� N <br />�d�—r N <br />N <br />-� , i� fes! N <br />�7�� N <br />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? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />CO MME6fFS: <br />INSPECTED BY: ���� <br />DATE: <br />C- <br />iTt,, <br />_v <br />
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