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SR0082196
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082196
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Last modified
7/22/2020 11:13:30 AM
Creation date
7/22/2020 11:01:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082196
PE
4210
FACILITY_NAME
17708 N KENNISON LN
STREET_NUMBER
17708
Direction
N
STREET_NAME
KENNISON
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04913008
ENTERED_DATE
6/15/2020 12:00:00 AM
SITE_LOCATION
17708 N KENNISON LN
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: 1770f /U• C PERMIT# 0 2 7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <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 N <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? SCC <br /> DISTANCE TO NEAREST LEACH LINE? ,$e•[ ./��w fj -IV N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 45' N <br /> IS D-BOX LEVEL? lA7 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? J-0 N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? /3' N <br /> CORRECT DEPTH OF LL TRENCHES? Iv, 3. -0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1 N <br /> CORRECT WIDTH OF LL TRENCHES? V7, Z ' N <br /> CORRECT LENGTH OF LL TRENCHES? 7g/ N <br /> CORRECT TYPE OF PIPING? SD/L 3 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? ,�!' ! <br /> DISTANCE TO NEAREST FOUNDATION? /De�r- N <br /> DISTANCE OF SOIL BARRIER TO PITS? ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? � AO N <br /> CORRECT WIDTH? 'V N <br /> OTHER T' Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? R N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ,® N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: fr; DATE: <br />
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