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SR0081241
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081241
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Last modified
9/17/2020 1:19:10 PM
Creation date
11/26/2019 9:25:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081241
PE
4211
STREET_NUMBER
20038
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
10521004
ENTERED_DATE
10/8/2019 12:00:00 AM
SITE_LOCATION
20038 E MILTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Lip - Vic{ .1 ' PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 16 OO N <br /> DISTANCE TO FOUNDATION? ,ZI N <br /> DISTANCE TO PROPERTY LINE? CY) N <br /> DISTANCE TO ANY WELLS? n�I YO N <br /> TANK LEVEL AND ORIENTED CORRECTLY? CY' N <br /> SANITARY TEES CORRECTLY INSTALLED? & N <br /> CORRECT TYPE OF PIPING? ✓ S-� �C �Y N <br /> TANK VENTED? oY N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? V-1 7 N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) c� S x L(� <br /> DISTANCE TO PROPERTY LINE? 2o,-{ U N <br /> DISTANCE TO ANY WATER WELLS? / (�© / Y N <br /> DISTANCE TO NEAREST FOUNDATION? OY N <br /> DISTANCE OF SOIL BARRIER BETWEEN-L'S? YQ N <br /> CORRECT DEPTH OF LL TRENCHES? vLiz" a N <br /> CORRECT DEPTH AND TYPE OF ROCK? -- Y N <br /> CORRECT WIDTH OF LL TRENCHES? / Z © N <br /> CORRECT LENGTH OF LL TRENCHES? v' / N <br /> CORRECT TYPE OF PIPING? C- <br /> OY N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ✓ 2-0, } � N <br /> DISTANCE TO ANY WATER WELLS? I N <br /> DISTANCE TO NEAREST FOUNDATION? t-1 N <br /> DISTANCE OF SOIL BARRIER TO PITS? L/ `7 CY)� N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ / OY N - Z Z 1 r)c Cy�g q C 5 1 ZC <br /> CORRECT WIDTH? ! L j © 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 DATE:DATE: i C <br />
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