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SR0079074
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079074
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Last modified
6/27/2018 2:04:46 PM
Creation date
5/17/2018 8:43:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079074
PE
4210
FACILITY_NAME
GILL, JASBIR S & P K
STREET_NUMBER
11403
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
05907019
ENTERED_DATE
5/17/2018
SITE_LOCATION
11403 N HAM LN
RECEIVED_DATE
5/4/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: t r PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? Y N <br />DISTANCE TO FOUNDATION? N <br />DISTANCE TO PROPERTY LINE? Y N <br />DISTANCF TO ANY WELLS? Y f;;,% TANK LEVEL AND ORIENTED CORRECTLY? Y <br />SANITARY TEES CORRECTLY INSTALLED? Y <br />CORRECT TYPE OF PIPING? Y <br />TANK VENTED 7 Y N <br />ANY. TANK ABNORMALITIES N ? Y N l <br />OTHER Y N <br />DISTRIBUTION <br />DISTANCE FROM TANK? IV Com"' Y N (�cQ <br />DISTANCE TO NEAREST LEACH LINE? N ( �L �p�{-�ry� h•� <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br />IS D -BOX LEVEL? N <br />OTHER Y N <br />LEACH FIELD: (LL = LEACH LINES), ! � <br />DISTANCE TO PROPERTY LINE? r <br />^t AKe-.,-r'5 Y --S <br />N <br />DISTANCE TO ANY WATER WELLS? <br />� �� N <br />DISTANCE TO NEAREST FOUNDATION? <br />�SxC Y N <br />DISTANCE OF SOIL BARRIER BETWEEN LL257 <br />'G ° N <br />CORRECT DEPTH OF LL TRENCHES? <br />j N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y N <br />CORRECT WIDTH OF LL TRENCHES? <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECTTYPE OF PIPING? <br />OTHER <br />T Y N <br />,gvxlE PITS: 4, VW' <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER WELLS? <br />- +N <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />r� N• /A Y N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />Y <br />OTHER <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE 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: I / DAI L: <br />
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