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SR0084392_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SR0084392_SSNL
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Last modified
11/12/2021 10:12:01 AM
Creation date
11/10/2021 4:55:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084392
PE
2602
STREET_NUMBER
3434
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02514009
ENTERED_DATE
10/25/2021 12:00:00 AM
SITE_LOCATION
3434 W SARGENT 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: - a r-. PERMIT# 1 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: / (J <br /> CORRECT TANK CAPACITY? , 600 Y N 6)p1��rvC�<J�� <br /> DISTANCE TO FOUNDATION? 2 . _-._-- Y N <br /> DISTANCE TO PROPERTY LINE? -- T ' Y N �_ - Z:7J <br /> DISTANCE TO ANY WELLS? _—� Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N _ <br /> CORRECT TYPE OF PIPING? Y N � Q <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OT4R ---- Y N — Vl./ <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? / YIN C ks;. ac) L/�Y' <br /> DISTANCE TO NEAREST LEACH LINE? 1 Y IN <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N _ <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: 1A <br /> DISTANCE TO PROPERTY LINE? y� o N <br /> DISTANCE TO ANY WATER WELLS? � N <br /> DISTANCE TO NEAREST FOUNDATION? c Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? �c � Y N <br /> CORRECT DEPTH OF LL TRENCHES? 2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? 2 fi 0 N ± _ <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: - !� , �O tk L 7/1 W L� (� <br /> _ � a <br /> 4 46— <br /> INSPECTED BY: DATE: <br /> `� <br />
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