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SR0079396
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079396
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Entry Properties
Last modified
7/30/2018 3:11:58 PM
Creation date
7/30/2018 2:51:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079396
PE
4214
STREET_NUMBER
24208
Direction
S
STREET_NAME
CABE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25015031
ENTERED_DATE
7/16/2018 12:00:00 AM
SITE_LOCATION
24208 S CABE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ° p7yrClr <br />PERMIT # dp <br />Check box CTUAL 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 />a (�j� Y <br />Gj Y <br />Y <br />Y <br />yes <br />�/�cJ Y <br />`JDI%Z. - 35 Y <br />y e s Y' <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />�/ <br />VC�� <br />�/ <br />✓ <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 />e- -s Y <br />�/ S Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />- <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BA$f31ER BETWEE LL'S? <br />CORRECT DEPTH OF � <br />CORRECT DEPTH AND TAPE 6Fi26C-14? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />�� Y <br />�-j'� OY <br />lo, <br />I �i AY <br />3 5 fr - Li oZ <br />U <br />_ li' �,' 3 <br />S DA _ 3 5 !) <br />Y <br />N <br />N © • �� �� <br />N <br />N <br />N <br />N j yl j <br />N t1ji li, p be -fl, <br />N ��, C,L v �� <br />N <br />N <br />(� bu C / / <br />/� 1,4.,,- &-d,!; <br />I /✓ Ia c' <br />✓ <br />,/ <br />SEEPAGE PITS: Ajo t� I +S <br />DISTANCE TO PROPERTY LI E? <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 />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 />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BY: � /�CZ� ���'C�` � � J DATE: �/�/� <br />
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