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SR0083052
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083052
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Last modified
6/7/2021 4:13:50 PM
Creation date
6/7/2021 3:08:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083052
PE
4210
FACILITY_NAME
4386 E ARMSTRONG RD
STREET_NUMBER
4386
Direction
E
STREET_NAME
ARMSTRONG
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05910038
ENTERED_DATE
12/21/2020 12:00:00 AM
SITE_LOCATION
4386 E ARMSTRONG 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 />INSPECTED B DATE: <br />D. o, r7(n.� V�l � 112fo�� I <br />ADDRESS: PERMIT # Qopm O S Z <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? �m� <br />DISTANCE TO FOUNDATION? / <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? �� ' G <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />Y N <br />�/ `�, s N <br />Y N <br />Y N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? -L <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />��b N <br />N �lri—S i <br />7 �� F' N <br />yam- Y N <br />I 02 2wit% N <br />% Vi :)rY N <br />( j of . 1 N <br />rj 6 m' QY N <br />2 N <br />Y N <br />�� <br />vo ' <br />ie- <br />SEEPAGE PITS: Z <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />'1 N <br />7 I Sc7 .�- Y N <br />p Y N <br />YY LJ <br />N L a , S h Ka c.%t�l <br />6 N Y N <br />Y N <br />✓ <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? C:) N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN, �J,� p <br />COMMENTS: <0 t Q���/ e41 � � � ��[ fel / o <br />rj vt kh v,S C olml ?v, t,- took t <br />'J44 ao� &42g; <br />
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