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SR0081893
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081893
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Last modified
5/28/2020 2:56:27 PM
Creation date
5/28/2020 2:51:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081893
PE
4211
FACILITY_NAME
26850 LONE TREE RD
STREET_NUMBER
26850
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22923005
ENTERED_DATE
3/16/2020 12:00:00 AM
SITE_LOCATION
26850 LONE TREE 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: G - -U yv ,- ,C tyv PERMIT# c <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? gy <br /> N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? i-(nN <br /> DISTANCE TO ANY WELLS? 102/ (Y, N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ®/ v N <br /> SANITARY TEES CORRECTLY INSTALLED? Y� N <br /> CORRECT TYPE OF PIPING? p K-l5 N <br /> TANK VENTED? t/ N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: _ <br /> DISTANCE FROM TANK? Y� N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? YO N <br /> IS D-BOX LEVEL? f j N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? / ('�r f QY N <br /> DISTANCE TO ANY WATER WELLS? '2 N <br /> DISTANCE TO NEAREST FOUNDATION? l / N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? / (/ Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ iJ N 12.- )rl C�� ti•�- rOf �s1 Z - <br /> CORRECT WIDTH OF LL TRENCHES? f ,—� Y N �j — <br /> CORRECT LENGTH OF LL TRENCHES? I/ Y N <br /> CORRECT TYPE OF PIPING? p/ 3 5 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? (�J {- N <br /> DISTANCE TO ANY WATER WELLS? ly <br /> N <br /> DISTANCE TO NEAREST FOUNDATION? ,� f N <br /> DISTANCE OF SOIL BARRIER TO PITS? ��/ N <br /> CORRECT DEPTH AND TYPE OF ROCK? ` Y N J_ L(` i ru- ,: ra L St 1 <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: DATE: 15- <br /> lIS•-/r�02 p <br /> I � 5 <br />
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