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SR0082359
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082359
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Last modified
11/19/2024 3:48:04 PM
Creation date
4/2/2021 9:05:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082359
PE
4218
FACILITY_NAME
5484 W HWY 12
STREET_NUMBER
5484
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95241
APN
05516023
ENTERED_DATE
7/22/2020 12:00:00 AM
SITE_LOCATION
5484 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> AaDRESS; 5 H 7),1 _ �� PERMIT# <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? 7.Z Y N <br /> DISTANCE TO ANY WELLS? Z,S�' Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? G Y N <br /> SANITARY TEES CORRECTLY INSTALLED? , Y N <br /> CORRECT TYPE OF PIPING? �_ mac, Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Nv Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? yer Y N <br /> IS D-BOX LEVEL? ALV-t 2 Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? ( ` Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? h Y N <br /> CORRECT DEPTH OF LL TRENCHES? Lam' Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? �`' Y N <br /> CORRECT TYPE OF PIPING? ij��A-- jCj Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? \ Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? YN <br /> OTHER El 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-�C _ � DATE: <br />
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