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SR0078988
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078988
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Last modified
6/27/2018 2:04:39 PM
Creation date
5/8/2018 9:02:22 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078988
PE
4230
FACILITY_NAME
BOYCE, JUSTIN A & KIMBERLY
STREET_NUMBER
23942
Direction
N
STREET_NAME
GRIFFITH GATE
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00739001
ENTERED_DATE
5/8/2018
SITE_LOCATION
23942 N GRIFFITH GATE LN
RECEIVED_DATE
4/13/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION GHECK LIST <br />INSPECTED BY: lj DATE: G-7 12- <br />ADl7RES5:y Z 1 y i « PERMIT # >� CSO•-� , <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <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 />_ <br />i ) N <br />�� Y N <br />N <br />j F� N <br />Y N <br />Y1 N , <br />1,�; Ll j� ,� N . <br />F 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 />ISO-BOXLEVEL? <br />OTHER <br />N <br />P N <br />N <br />Y N <br />Y N <br />LEACH FIELD: (LL = LE} GH LINES} <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS7 <br />CORRECT DEPTH OF LLTRENCI IES? <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 />I �� <br />N <br />��) -,{ Y ' N <br />��— - <br />s Y' N <br />N <br />3 N <br />N <br />N <br />N <br />Y N <br />�- �— Y N u <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION?C <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK?D <br />CORRECTWIDTH? <br />OTHER <br />J <br />! �Ci +- N <br />Y N <br />N <br />+0 � �' v � N <br />�< <ys n U� N ,.• �, �. -- l <br />Lf Z„ N syYl� ��' •�� <br />Y N�� c <br />MISCELLANEOUS: —� <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y 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 />COMMENTS: <br />INSPECTED BY: lj DATE: G-7 12- <br />
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