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SR0084702
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084702
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Last modified
2/7/2022 9:53:53 AM
Creation date
2/7/2022 9:27:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084702
PE
4219
STREET_NUMBER
1700
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14325005
ENTERED_DATE
1/6/2022 12:00:00 AM
SITE_LOCATION
1700 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected <br />MEASUREMENT <br />STANDARDS? <br />COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />/ l <br />DISTANCE TO FOUNDATION? <br />(S % <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WELLS? <br />/U:,:. <br />YU <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />d <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />U <br />N <br />CORRECT TYPE OF PIPING? <br />0 <br />N <br />TANK VENTED ? <br />ti' <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />�� <br />�j , S / <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />S <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />r <br />lY> <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />7 <br />N <br />DISTANCE TO ANY WATER WELLS? <br />jjk4 , L <br />lv <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />—50", <br />� <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />11 / <br />U <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />(y) <br />N <br />X <br />CORRECT DEPTH AND TYPE OF ROCK? <br />:y1 <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />v'% <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />+ <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />j CJ <br />vY <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />) L/ <br />(Y) <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />`L j / <br />1' <br />N <br />CORRECT WIDTH? <br />`r / <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />�;� ) <br />U <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE <br />COMMENTS: e S ,t V <br />RE WN. <br />-6o1 ` 52 L� <br />Y ,/ <br />fj <br />INSPECTED BY: �/ %� ! . �` x � /�% DATE: I / J I LZ <br />
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