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SR0080127
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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22095
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080127
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Last modified
11/19/2024 4:01:35 PM
Creation date
4/12/2019 9:42:00 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080127
PE
4210
STREET_NUMBER
22095
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320
APN
20526018
ENTERED_DATE
1/28/2019 12:00:00 AM
SITE_LOCATION
22095 HWY 120
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: Z ZD'1 wq 17-0 PERMIT# 512oo5:6z7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 'Zv c K ® N <br /> DISTANCE TO FOUNDATION? fl c1` N <br /> DISTANCE TO PROPERTY LINE? 2 y 49 N <br /> DISTANCE TO ANY WELLS? /(q N <br /> TANK LEVEL AND ORIENTED CORRECTLY? / R N <br /> SANITARY TEES CORRECTLY INSTALLED? 49 N <br /> CORRECT TYPE OF PIPING? ;,�, 3 ; 4D N <br /> TANK VENTED? i -- 4p N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: Ale <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) F,,ft!e- <br /> DISTANCE TO PROPERTY LINE? 3z (0 ® N <br /> DISTANCE TO ANY WATER WELLS? 1 021 Z'` N <br /> DISTANCE TO NEAREST FOUNDATION? v 5 j 2Q N <br /> DISTANCE OF SOIL BARR kR BETWEE S7 Y N <br /> CORRECT DEPTH OFK TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? �'g' N <br /> K <br /> CORRECT WIDTH OFRENCHES? i`7 AV N <br /> CORRECT LENGTH OF�kTRENCHES? i2 & N <br /> CORRECT TYPE OF PIPING? D le-3 S ir�) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ® N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: L/�.,� ��/ � DATE: Z/�-7 �y <br />
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