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SR0083113
Environmental Health - Public
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EHD Program Facility Records by Street Name
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RANCHERO
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23850
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083113
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Entry Properties
Last modified
6/8/2021 1:38:47 PM
Creation date
6/8/2021 1:20:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083113
PE
4213
FACILITY_NAME
23850 E RANCHERO RD
STREET_NUMBER
23850
Direction
E
STREET_NAME
RANCHERO
STREET_TYPE
RD
City
GALT
Zip
95227
APN
00930014
ENTERED_DATE
1/6/2021 12:00:00 AM
SITE_LOCATION
23850 E RANCHERO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ---i)5c, e. ga.4,1_C11-e/r0 1e--4. PERMIT # 5 /zoos '3 ii •3 <br />. ..ie Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <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 0 1 b ve,,,-- <br />1 0 (0QL1 Cy.) N <br />V 10 ff Y N <br />u"--- .---- 10 •r 4- Y N <br />N-*--- " - - a o 5 -F+ Y N ±aot lk A.- yg ; 0.4.1„ (.6.41 kIl <br />%./- N <br />l/- 6 N <br />5Die3 5 ,54, '-/O Y N <br />../ t N <br />Y N <br />'-- 30 - 3 b i K . y no_k_A_ 1(S€.fT <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS 0-BOX LEVEL? <br />OTHER <br />5. ..14- c__D N \,/"" <br />k../- if • S f-f- CD N <br />— 0 NI- tA•-• Y N <br />%./.- Cip N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <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 />%- .-->t or-f- um N <br />\ .> I od -P-(-- Y N <br />_0.. > I 0 -14- MI N <br />—L- L- N <br />t/- -339 -Li 0 ; fr, . G N <br />k.- a -14 f-A• Om N I 2-•-- ; let. cC1 C-kg <br />c...---- ?1.j __.3_0 ; 0 , CYJ N <br />i'-' 5 6 -F4- (3 N <br />V. SD -3s ,C) N <br />Y N <br />SEEPAGE PITS: 51A file <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 1/ &;/1' -41 <br />--> 10 -1C---1 N l,---- <br />(./- , ›ISD.F-t N <br />1,— ."7 0 N <br />(/*-- 6 N <br />t.-- l o fel " I -02 , C ; A• fr'.0 C-P5' <br />%./..- C N <br />k.. (--s 4 N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y 0/0 <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? dp N <br />TO ANY NO ANSWER ABOVE REQUIRES PERMIT BE REDRAWN. ,. v„,,, se-"4- <br />pi - 14C6J 49 f r-f-led...-- COMMENTS: ,a,,....., ._ ., <br />INSPECTED BYrp <br />cP- Ac-,Fr> <br /> DATE: 2/ 0
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