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SR0079136
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079136
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Last modified
7/19/2018 9:37:18 AM
Creation date
7/19/2018 9:18:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079136
PE
4211
FACILITY_NAME
FONTES, MANUEL
STREET_NUMBER
16587
Direction
S
STREET_NAME
SEXTON
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20526002
ENTERED_DATE
5/21/2018 12:00:00 AM
SITE_LOCATION
16587 S SEXTON RD
RECEIVED_DATE
5/21/2018
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: PERMIT # <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 />elt <br />Y N <br />N <br />0 f N <br />N <br />N <br />5 N , <br />N <br />N <br />A10 N <br />N <br />V <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 />N <br />N <br />N <br />N <br />Y 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 />b N <br />((+(S y� N <br />N - <br />N <br />N <br />ice – Z N <br />Z r N <br />��— N <br />'�5 N <br />Y N <br />02 <br />SEEPAGE = v V <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 />j <br />Z6 N <br />e-6 N <br />f N <br />(() N <br />� N <br />Y N <br />✓ <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 />COMMENTS: <br />INSPECTED BY: G %�J� UA I L: - 11 14 -Ar ( A — <br />
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