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SR0081599
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081599
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Last modified
8/23/2021 12:16:59 PM
Creation date
8/23/2021 11:21:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081599
PE
4211
STREET_NUMBER
21353
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
22810007
ENTERED_DATE
1/6/2020 12:00:00 AM
SITE_LOCATION
21353 S OLIVE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 2 \ -5 5"-i , et) 1.---r___L.) ...--- . kc,..itf) p PERMIT # a 0 b 1 3Tr <br />Check box ACTUAL MEETS SJC <br />PARAMETER P 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 <br />\'\ N <br />42 1 N <br />'LS I QJ N <br />\Or0 3.C: 0 N <br />I <br />\-1%/5 lle N <br />\k4:5 4411 N <br />'-kAaf5 mo N <br />\II'C' , , r x N , <br />1..)10 N N <br />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 />i <br />r7•5A N <br />N <br />J N <br />NkP_5 (..yJ 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 />s <br />\.Q N <br />/ -VV31 <br />k-- V4-0 i N <br />N <br />\IZII N <br />Lk.ljt N <br />\ vi N r_AJCC—c-- 'C 4.-/$?•< 0 4.._ <br />--(....Lki I N <br />\ —to' N <br />t42-- 2.5 J 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 />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 OF SYSTEM? N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />1..Diz_.tr,_ .x.tf-V.i K-V-4,:vb Q-- Na-1K}4.44,x5-V <br />r....t-c:--.--4=•,Q__ L-c 5.A. (--Z...1"-'e- 'r-S GI 2 0 -G.÷ <br />^ bv...) i..) sk1=-4.-- Li•-r--.L._,_ p cisi • .) ''---S. t- P r_c_•c-- 1/4-1/4,7,....e- (DP- t_AN.,N% <br />r_10 C--CL-A---. (-47.-,.. <br />- 1 11_1 ruol... \ ^ eti-l-oit 1..- Ckil:Na..,•41-,e.Q.,E) .rv.bSv KL %--• <br />INSPECTED BY: DATE: <br />
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