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SR0082995
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082995
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Last modified
6/14/2021 3:59:45 PM
Creation date
6/14/2021 3:23:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082995
PE
4210
FACILITY_NAME
11767 E NORMAN AVE
STREET_NUMBER
11767
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10328020
ENTERED_DATE
12/10/2020 12:00:00 AM
SITE_LOCATION
11767 E NORMAN AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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DATE: INSPECTED <br />Pot--- <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: I i --+ 4)-1- A70 ir 11V7C44,7 Ka- PERMIT # le--6 0 S- 99s <br />Check box ACTUAL MEETS SJC <br />PARAMETER ' if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />(1 ( -1<ctri ft CORRECT TANK CAPACITY? 1,--7( • i <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 t--- e-r-'FL.Arepe-i-C.D N <br />fr--' 0 (2-3 S c. N <br />Y N <br />Y N <br />Y N <br />DISTRIBUTION BOX: (00.,(14.- <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D-BOX LEVEL? <br />OTHER <br />3,-45 Y N S0.44-42. LoCA9C6).1 0-4 ° id i cit_ Lax v <br />t• 2 ' S -{' t L5-'-- N kVA, L-I._ <br />Y N v"-e-fo--i 4--- <br />N....------ L_ 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 />l ' 110 '-r4- Cy. N <br />V" I 33 -0-- 8 N <br />t/ --- I a r 4 N <br />if taf>4e— Y N . <br />t,.- 4 .- , et Y N ,--t—opoo Ava...p./ <br />1 .- 'Q ' Pl. 0 N i - /WS Li, ko (-1-r . <br />\ ./ 2 144? - N <br />,>.--- q o f---+ N <br />AS 1-//11)-7...-/-4 Y N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? (Y-7.- <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 />'N-5'9 -(4- (..21 N 1,/ <br />%./ /""-- 1 3 5 -r-E-V N <br />1/' /49 + ' Y N <br />L-- N <br />i/- 2 •E -r• (-ID N i --,2, C, ; ki , rzo c./‹-j <br />t/- '-.7. 4 ; I, , , (1) N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />OF SYSTEM? (Jj) N <br />IN FUTURE? (L._I) N
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