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SR0082117
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082117
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Last modified
6/5/2020 10:19:45 AM
Creation date
6/5/2020 9:04:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082117
PE
4210
STREET_NUMBER
24674
Direction
N
STREET_NAME
GRAHAM
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00726034
ENTERED_DATE
5/26/2020 12:00:00 AM
SITE_LOCATION
24674 N GRAHAM RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: EX- 4" <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 N <br /> CORRECT TYPE OF PIPING? S 1 l�Z'3 $ ,��YJJ N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: F4 0 <br /> DISTANCE FROM TANK? t� 2 N <br /> DISTANCE TO NEAREST LEACH LINE? f s N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — 0, L L Y N <br /> IS D-BOX LEVEL? `'.J N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �� 2 4, S + NY <br /> N <br /> DISTANCE TO ANY WATER WELLS? y rj Q N <br /> DISTANCE TO NEAREST FOUNDATION? 1� s N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? O yte- Y N <br /> CORRECT DEPTH OF LL TRENCHES? -2,& i A (Z) N <br /> CORRECT DEPTH AND TYPE OF ROCK? HCY) N —Z,S i h• P'o C� <br /> CORRECT WIDTH OF LL TRENCHES? �/ 'Z Ll ;H,. N <br /> CORRECT LENGTH OF LL TRENCHES? 4 Y N <br /> CORRECT TYPE OF PIPING? 2 Y N <br /> OTHER N <br /> SEEPAGE PITS: ✓ <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? OY N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N I L <br /> CORRECT DEPTH AND TYPE OF ROCK? 1� 2 4 2 _ft C) N 9 G O a tem �� �!e-If�., <br /> CORRECT WIDTH? �� N �0) I iH tic <br /> OTHER Y N �� - <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? ��Y � <br /> � <br /> (' <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: S DATE: �D--7 n <br />
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