My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0080146
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HURD
>
13561
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0080146
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/26/2019 4:53:53 PM
Creation date
4/26/2019 11:28:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080146
PE
4210
STREET_NUMBER
13561
Direction
N
STREET_NAME
HURD
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06104010
ENTERED_DATE
1/31/2019 12:00:00 AM
SITE_LOCATION
13561 N HURD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
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 1NSPEGTION CHECK LIST <br /> ADDRESS: �j 5 r PERMIT# '5r—(90 '& <br /> 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: �XiSl <br /> CORRECT TANK CAPA61 Y? J Y N <br /> DISTANCETOFOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCETO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARYTEESCORRECTLY INSTALLED? Y N , <br /> CORRECTTYPE OF PIPING? IL-3 5 Y N <br /> TANKVFNTED 7 Y N <br /> ANYTANKABNORMALITIESNOTED? Y N. <br /> OTHER Y N <br /> DISTRIBUTION BOACp� "r ,o r i 5' !• y� r I r <br /> DISTANCE FROM TANK? t0 V Q N �- X �C�! Q� �Qc' T6--b�'P,T1 <br /> S <br /> DISTANCE TO NEAREST LEACH LINE? v- N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> ISD-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH HELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ (Q F Q N <br /> DISTANCE OF SOIL BARRIER BETWEEN WS? ( N <br /> CORRECT DEPTH OF LLTRENCHES? v- �j ; ( N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1i (Y N 5 .-,2 ; roc I3;K t <br /> CORRECTWIDTHOFLLTRENCHES? y N <br /> CORRECTLENGTH OF LL TRENCHES? ✓ Ll a (Y)( (`Y�) N <br /> CORRECTTYPE OF PIPING? �/ s J� !� S V N <br /> OTHER Y N <br /> SEEPAGE PITS: X <br /> DISTANCE TO PROPERTY LINE? YN <br /> DISTANCE TO ANY WATER WELLS? (Q q f4 Y N <br /> DISTANCETONEAREST FOUNDATION? If• 6Q -r fes' N <br /> DISTANCE OF SOIL BARRIER TO PITS? V LO F f O N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 ,5 Q N <br /> CORRECTWIDTH? h N <br /> OTHER Y N <br /> M18c>uANEOUS' <br /> DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMITTO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: ( � (�/ DATE: 12 / <br />
The URL can be used to link to this page
Your browser does not support the video tag.