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SR0082411
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WEST RIPON
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12092
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082411
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Last modified
9/14/2021 2:51:40 PM
Creation date
9/14/2021 2:43:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082411
PE
4210
STREET_NUMBER
12092
Direction
E
STREET_NAME
WEST RIPON
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
25727003
ENTERED_DATE
8/3/2020 12:00:00 AM
SITE_LOCATION
12092 E WEST RIPON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ( 2 09;Z- <br />PERMIT # <br />Check box <br />PARAMETER if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY?l <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 ?C_1� <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />ilo Y <br />2. Y <br />/l 2 <br />. Y <br />/ gy <br />3 S � <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 />00 <br />�/ <br />�/ <br />V/ <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 <br />(�'3 <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?'J <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 />�"� <br />Y <br />Y <br />Y <br />Y <br />D i /4 <br />S Y <br />s <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />100 <br />/ <br />�� <br />SEEPAGE PITS: n <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 />Y <br />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? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ( Y� <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. �� <br />COMMENTS: -6,7 <br />^ <br />N <br />1^ <br />�p <br />(/VVJ YYi <br />INSPECTED BY:T�I 0,-A �` DATE: 5/ / /� <br />
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