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SR0081850
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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16101
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4200 – Liquid Waste Program
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SR0081850
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Entry Properties
Last modified
6/14/2021 3:34:34 PM
Creation date
6/14/2021 3:18:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
SR0081850
PE
4211
FACILITY_NAME
16101 W GRANTLINE
STREET_NUMBER
16101
Direction
W
STREET_NAME
GRANTLINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20919033
ENTERED_DATE
3/5/2020 12:00:00 AM
SITE_LOCATION
16101 W GRANTLINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: i A IQ i W. (..? 0141.1- 1.--1 ett_ le-d_ PERMIT # 4;t0 I SSD I <br />:f 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 TYPE OF PIPING? <br />TANK VENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER t./.- <br />--/--, 9 00 1 c.,1 N <br />1./. ite N <br />I...---- 6 N <br />t .' °Mg Y 0 2-00 4 & e4.4-b1,1 I <br />V------- Y N <br />k/- N ill/ t•r•-ri t0t ./t71 <br />"V"-- cD re --?, s--- N <br />L.------- 0 N <br />Y N <br />--r-clx-v--c_ Y N <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 />Y N <br />Y N <br />Y N <br />Y 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 />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 />SEEPAGE PITS: <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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BEARD:WM, <br />COMMENTS: -1-tail z_ K- <br />TO LOCATE <br />c-/ <br />// <br />OF SYSTEM? Y 0 <br />IN FUTURE? C9 N <br />k? ‘LeiLc Pve I I Ile_d , <br />e . / ., J oe.Li-w . we <br />Art- t v.,,. . ,„.., r s_e 1-.L.„., ine-A;re_ atm ja-er-rizi-t <br />1'yr linAip -I- k Z 7C-ns-7 g ‘1,-,4( <br />--b, G-10-6t4-70k7655 91.4 1.„ <br />e-e- — I- titi (--b-lo 4.-7 I 7 '7 0 7.-.0 -- C-t .844i ,o et-ri ci)2- A 0 kt -ti 616 C ee <br />INSPECTED BY: DATE: <br />7C31
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