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SR0076946
Environmental Health - Public
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12 (STATE ROUTE 12)
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076946
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Entry Properties
Last modified
11/19/2024 3:48:03 PM
Creation date
12/1/2017 11:55:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076946
PE
4219
STREET_NUMBER
6100
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
04912034
ENTERED_DATE
3/13/2017 12:00:00 AM
SITE_LOCATION
6100 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
FilePath
\MIGRATIONS\T\12 (HWY 12)\6100\SR0076946.PDF
QuestysFileName
SR0076946
QuestysRecordID
3352471
QuestysRecordType
12
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED --- UH i c: ���b�/� ? �// y/ /� <br />- <br />Checkbox <br />ACTUAL <br />MEETS <br />SJC <br />PARAMETER if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />!/' <br />N <br />j/ <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WELLS? <br />7 SGS <br />© <br />N <br />✓ <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Q <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? �/ <br />j� <br />�' ` <br />�( <br />N <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />��1 <br />N <br />IS D -BOX LEVEL? <br />✓ <br />N <br />OTHER <br />Y <br />N <br />LEACHFIELD: (LL=LEACHLINES) Cj�✓{=o�71►iZtS� <br />DISTANCE TO PROPERTY LINE? <br />`j <br />�N--v-�� <br />Lv <br />N <br />DISTANCE TO ANY WATER WELLS? <br />✓ <br />SIX' <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />�/ <br />��` <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />lav'; <br />C <br />N <br />CORRECT LENGTH OF LL TRENCHES?✓ <br />�G , ' <br />(D <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />t <br />73Q�' <br />Y� <br />N <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />%Z' <br />s <br />CYC <br />N <br />N <br />✓ <br />�/ <br />CORRECT DEPTH AND TYPE OF ROCK? <br />N <br />CORRECT WIDTH? <br />�� <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION <br />OF SYSTEM? <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />Y <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO <br />BE REDRAWN. <br />COMMENTS: <br />ti 710 e' <br />INSPECTED --- UH i c: ���b�/� ? �// y/ /� <br />
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