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SR0078828
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAN ALLEN
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078828
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Last modified
6/27/2018 2:04:30 PM
Creation date
4/19/2018 9:16:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078828
PE
4210
FACILITY_NAME
NARAGHI, DARIUS & CARLA
STREET_NUMBER
18697
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
24508016
ENTERED_DATE
4/19/2018
SITE_LOCATION
18697 S VAN ALLEN RD
RECEIVED_DATE
3/8/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: / -t <br />ti 4 <br />PERMIT # 5 2 18 <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 />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />Ed <br />DISTRIBUTION BOX: I S <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 <br />Y <br />Y <br />Y <br />Y <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 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 />L� /r <br />Lp / *- J <br />yG �' <br />�- <br />y0( <br />gdh <br />tQ <br />Y <br />4 <br />Y <br />N <br />N <br />N <br />N <br />N [d..7" <br />N _r <br />N <br />N <br />N <br />N <br />✓ <br />,/ <br />�/ <br />salrs: sv <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION?Sp�— <br />DISTANCE OF SOIL BARRIER TO.W�f,.Vf <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />�f- % �i <br />L <br />+� <br />-41 <br />LP <br />a <br />64 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: L l y, We -t I, / /"pl L <br />QI <br />N <br />N <br />r,> , <br />INSPECTED BY: *kft eer dj36 � DATE: 3/Z--)/ ��ly <br />
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