My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0083158
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FERNWOOD
>
10122
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0083158
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/14/2021 4:11:21 PM
Creation date
6/14/2021 3:15:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083158
PE
4210
FACILITY_NAME
10122 N FERNWOOD
STREET_NUMBER
10122
Direction
N
STREET_NAME
FERNWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95212
APN
08650009
ENTERED_DATE
1/13/2021 12:00:00 AM
SITE_LOCATION
10122 N FERNWOOD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
7
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 10 1 -2 P_ P -t+— <br />Oe <br />--00 A PERMIT # p Oit 3 S <br />Check box <br />PARAMETER if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? �!� n <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 <br />Y <br />Y <br />Y <br />Y <br />U <br />51 fL�j S (Zj <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />�/ <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />C <br />J <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />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 />(o �'� Y <br />Y <br />S oZ Y <br />Y <br />s i- Y <br />?itri ZZ vl Y <br />2 u j y) Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />OK 2 w-, <br />S <br />e S <br />t Vj, re 62-1 <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE?V <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� <br />✓ <br />l� <br />F <br />a Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? eY <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BYT� /� / `' `'� " DATE 1 /� <br />
The URL can be used to link to this page
Your browser does not support the video tag.