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SR0082809
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082809
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Last modified
12/21/2021 2:10:38 PM
Creation date
12/21/2021 1:54:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082809
PE
4210
STREET_NUMBER
21074
Direction
S
STREET_NAME
SEXTON
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
24730002
ENTERED_DATE
10/30/2020 12:00:00 AM
SITE_LOCATION
21074 S SEXTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ountain <br />Valley pamuing <br />Property Information <br />MOUNTAIN VALLEY PUMPING <br />Septic Tank Inspection Report <br />MVP -001 <br />10/25/2020 <br />Date of Service / Maintenance: October 26, 2020 Email: sharimummertl8@gmail.com <br />Owner's Name: Rick & Shari Mummert Phone #: (209) 601-5036 <br />Address of Inspection: 21074 Sexton Rd. Escalon California <br />Number of Bedrooms: 3 Year Septic System Built: -- <br />Septic System Information <br />0 Septic Tank with leach ❑ Septic tank with ❑ Other (describe) <br />field / seepage pit(s) pump <br />Tank capacity (gallons): 1200 gallons Number of compartments: 2 <br />Number of Access lid Depth to access Access risers present? <br />access lids: diameter: lids: ❑ No FF1 Yes <br />2 20" 18" <br />Septic Tank construction <br />I] Rectangular <br />❑ <br />Round <br />❑ Other shape: <br />(] Concrete <br />❑ Fiberglass <br />❑ Plastic <br />❑ <br />Brick <br />❑ Other material: <br />Septic Tank Condition: <br />Lids deteriorated: [i] <br />No []Yes <br />Baffle wall deteriorated:(] No ❑ Yes <br />Tank deteriorated: 9 No ❑ Yes <br />Inlet tee present: ❑ No E Yes I Outlet tee present: ❑ No K Yes <br />Riser lids seal properly: Heavy grease build up: <br />❑ No 0 Yes ] No ❑ Yes <br />Overall System Condition: Prior to pumping was effluent above the outflow tee? Z No ❑ Yes <br />While pumping did effluent re-enter tank from leach system? 0 No ❑ Yes (may indicate system failure) <br />Signs of surfacing effluent observed? Fil No ❑ Yes Location: <br />Any signs of past drainage problems? E No ❑ Yes Location: <br />System appears to be functioning satisfactorily? ❑ No 0 Yes <br />Septage Removal: I Volume pumped (gallons): 1200 gallons <br />P.O. BOX 266 1 OAKDALE, CA 9561 1 209-845-1800 1 info@mountainvalleypumping.com PAGE 1 OF 2 <br />1 www.mountainvalleypumping.com <br />
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