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SR0078814
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078814
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Last modified
6/27/2018 2:04:29 PM
Creation date
3/12/2018 3:14:53 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078814
PE
4214
FACILITY_NAME
JUDY NEWFIELD
STREET_NUMBER
19972
Direction
N
STREET_NAME
FAIRWAY
STREET_TYPE
CT
City
WOODBRIDGE
Zip
95258
APN
01325004
ENTERED_DATE
3/12/2018
SITE_LOCATION
19972 N FAIRWAY CT
RECEIVED_DATE
3/5/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: a tAJIX- <br />Check box ACTUAL MEETS SJC <br />PARAMETER If inspected MEASUREMENT 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 />Y N <br />Y N <br />Y , 7 <br />Y N <br />Y N <br />Y N w L <br />Y N <br />Y 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 />IS •D -BOX LEVEL? <br />OTHER <br />Y N <br />Y N <br />N <br />N <br />Y N <br />LEACH FIELD: (LL = LES) <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 />CORRECTWIDTHOFLLTRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />(� Y, N <br />'Z� C -+ (T N <br />l�Ji N - <br />t� N <br />N <br />Y N <br />N <br />4-f- O U N <br />N <br />Y N <br />SEEPA �� \ <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 />'2 Y N <br />N <br />4 N <br />Y-- N <br />�f a'N' N <br />2 ' N <br />'a. ra-T N Sc <br />MISCELLANEOUS: s �'• r P ' P �0 <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? Y N oIL��L <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE_? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: � 1 �/ DATE: <br />
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