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SR0079258
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079258
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Entry Properties
Last modified
7/19/2018 2:12:40 PM
Creation date
7/19/2018 1:36:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079258
PE
4210
STREET_NUMBER
7182
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110007
ENTERED_DATE
6/12/2018 12:00:00 AM
SITE_LOCATION
7182 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION GHEGK LIST <br />ADDRESS: <br />PERMIT It <br />Check box ACTUAL MEETS SJC <br />PARAMETER <br />ifinspecfed MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />— <br />2 © o <br />N <br />DISTANCE TO FOUNDATION? <br />' <br />N <br />DISTANCE TO PROPERTY LINE?—'7N <br />DISTANCTO ANY WELLS? <br />E= <br />ti <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />- <br />Y- <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />5� _ <br />N <br />TANK VENTED? <br />_ <br />N <br />ANY-TANKABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />DISTRIBUTION BOX: <br />Y <br />- <br />N <br />DISTANCE FROM TANK?: <br />Y� <br />N r <br />DISTANCETONFARESTLEACH LINE? <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />( Y <br />N ---- -- <br />OTHER <br />Y <br />N <br />LEACH Fl[LD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER KNELLS? <br />Y <br />N <br />DISTANCETONEAREST FOUNDATION? <br />, L� l <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y <br />N <br />CORRECT DEPTH OFLLTRE-NCHES?7 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />3j �� <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />i Y <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECT TYPE OF PIPING? <br />(� `Z t` <br />N <br />OTHER <br />v �<>-- <br />N <br />SEEP PITS: <br />DIS ANCE TO PROPERTY LINE? N <br />DISTANCE TO ANY WATER WELLS? % Y\ N <br />DISTANCETONEAREST FOUNDATION? ti N <br />DISTANCE OFSOIL BARRIER TO PITS? �% Y N <br />CORRECT DEPTH AND TYPE OF ROCK? �/ �j S �� (�_ Y N / <br />CORRECTWIDTH? ' N I `T— <br />OTHER –� Y N <br />MISCELLANEOUS: <br />DOES PER <br />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: I/ ��, �/ I�'' DATE: - /� / C�' //�,, <br />(� � �/�/ <br />
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