My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0079876
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
F
>
5290
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0079876
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/24/2019 3:58:35 PM
Creation date
4/24/2019 2:29:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079876
PE
4214
STREET_NUMBER
5290
Direction
W
STREET_NAME
F
STREET_TYPE
ST
City
TRACY
Zip
95304
APN
25006015
ENTERED_DATE
11/14/2018 12:00:00 AM
SITE_LOCATION
5290 W F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 15 Z 61 F �I PERMIT# S G G 18 ]F� <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1500 N <br /> DISTANCE TO FOUNDATION? -) C N <br /> DISTANCE TO PROPERTY LINE? ✓ 5 m N <br /> DISTANCE TO ANY WELLS? v b 'W N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Q N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ N <br /> CORRECT TYPE OF PIPING? �/ ���i� ® N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ 5 t t N <br /> DISTANCE TO NEAREST LEACH LINE? V S N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ N <br /> IS D-BOX LEVEL? ✓ N <br /> OTHER Y N <br /> LEACH FIELD: (!!-LEAel I EINE ) IyN{j t}It +YS <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? �/ S�( CYC N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 2-0it (f) N i2m Ell <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? U N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? - Y N <br /> CORRECT LENGTH OF LL TRENCHES? Tjp 'f © N <br /> CORRECT TYPE OF PIPING? © N <br /> OTHER Y N <br /> SEEPAGE PITS: NoP S <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 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: p , � DATE: In j O� j <br /> I <br />
The URL can be used to link to this page
Your browser does not support the video tag.