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SR0079739
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079739
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Last modified
4/12/2019 9:55:23 AM
Creation date
4/12/2019 9:39:08 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079739
PE
4211
STREET_NUMBER
12650
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06324020
ENTERED_DATE
10/11/2018 12:00:00 AM
SITE_LOCATION
12650 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: F- .� u��c PERMIT# 5 i2 7,1 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �, �!",'��� <br /> CORRECT TANK CAPACITY? /LLC/ N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? -I Uv N <br /> DISTANCE TO ANY WELLS? � t (f> N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? j��Q.3 ® N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? d N <br /> DISTANCE TO NEAREST LEACH LINE? ill, S N <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? C� �'T 'tb N <br /> DISTANCE TO ANY WATER WELLS? ley/✓ N <br /> DISTANCE TO NEAREST FOUNDATION? ;�-/ / N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? -6) N <br /> CORRECT DEPTH AND TYPE OF ROCK? /sf// I® N <br /> CORRECT WIDTH OF LL TRENCHES? g ® N <br /> CORRECT LENGTH OF LL TRENCHES? h-y' ® N <br /> CORRECT TYPE OF PIPING? g f�/Z 3J Q N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? d 0� (� N <br /> DISTANCE TO ANY WATER WELLS? n / N <br /> DISTANCE TO NEAREST FOUNDATION? fCk, i e- N <br /> DISTANCE OF SOIL BARRIER TO PITS? + N <br /> CORRECT DEPTH AND TYPE OF ROCK? Z.3" N <br /> CORRECT WIDTH? N <br /> OTHER r:4 Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? o'V N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? OeP N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �t.?vtn-c ��`��� DATE: �/ice/may <br />
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