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SR0081435
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081435
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Last modified
11/20/2024 9:09:36 AM
Creation date
5/12/2020 2:56:31 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081435
PE
4210
STREET_NUMBER
15501
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95215
APN
18317014
ENTERED_DATE
11/20/2019 12:00:00 AM
SITE_LOCATION
15501 E HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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1 <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: �- �� V�,� PERMIT# <br /> Check box ACTUAL_ MEETS SJC <br /> PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENIS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y IN , <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY-TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ `?O Y IN <br /> DISTANCETO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ ( U u f N <br /> 1S-D-BDXLEVEL? Y N <br /> OTHER Y N <br /> LEACH RELD: (LL=LEACH LINES) ' <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? (L- f Y N <br /> Di STANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N %Lr' -h QX c L <br /> CORRECT DEPTH OF LL TRENCHES? 3Lf Y N Z k �'e)Lice( <br /> CORRECT DEPTH AND TYPE OF ROCK? ST,` Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: '7 <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCETO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECTDEPTH AND TYPE OF ROCK? i I Y N <br /> CORRECTWIDTH? � I Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING F EFLECT 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: - /_ <br />
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