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68-762
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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10682
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4200/4300 - Liquid Waste/Water Well Permits
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68-762
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Entry Properties
Last modified
11/20/2024 9:22:11 AM
Creation date
12/4/2017 11:02:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
68-762
STREET_NUMBER
10682
Direction
N
STREET_NAME
STATE ROUTE 88
City
STOCKTON
SITE_LOCATION
10682 N HWY 88
RECEIVED_DATE
08/20/1968
P_LOCATION
J W HANNAH JR
Supplemental fields
FilePath
\MIGRATIONS\E\88 (HWY 88)\10682\68-762.PDF
QuestysFileName
68-762
QuestysRecordID
1736374
QuestysRecordType
12
Tags
EHD - Public
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FOR OFFICE USE:- <br /> APPLICATION FOR IANITATION PERMIT /f <br /> Permit No. .Co. .'_7a <br /> ---------- ------------ ---- - ------ (Complete in Triplicate) �{ <br /> --------------------------- Date Issued <br /> k. This Per Expires ] Year From Date Issued e <br /> iade to the San Joaquin Local Health District= for a permit to construct and install the work herein <br /> Application is hereby'n <br /> described. This a licatior, is,made in compliance with County Ordinance No. 549 and existing Rules and Regulations. <br /> JOB ADDRESS/LOCATIO ,- - <br /> 6 = +- <br /> ___doe-" CENSUS TRACT --------------------------- <br /> JOB ------------ --------- <br /> `FE 1 . _: --Phon - - ----- <br /> Owner s Name <br /> ti - <br /> Address ---IF------- - '------- ------- City -- -- <br /> Contractor's Name ' ' License # _fD¢�/�--- Phone ------------------------ <br /> __ _ ----- - <br /> Installation will serve: Resident��Apartment House-F1 Commercial :❑Trailer Court !❑ <br /> Garbage�MotE1F❑ Other ------------------- --------- --- <br /> - <br /> rr_____ Number of bedrooms _� Grinder -__-____ ______ <br /> .__ Lot Size __ ____________________________"----- - <br /> Number of living units:_.---r- <br /> Water Supply: Public System and name __________-- s ______Private <br /> Character of soil to a depth of 3 feet: Sand'❑ Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Clay Loam ❑ <br /> Hardpan ❑ AdobeX Fill Material ------------ If yes, type ---------- ------ <br /> (Plot plan, showing size of lot, location oaf system in relation to.,wells, buildings, etc. must be placed on reverse side.) <br /> i I "Y <br /> NEW INSTALLATION: (No septic tank or seepage pit permitted if public-,sew r is available within 200 feet,) \ <br /> PACKAGE TREATMENT [ ] SEPTIC TANK'[ ] Size--------------�-----------� --- Liquid Depth --------------------- <br /> Ca acit Type ---------------------- <br /> Prop. <br /> 0 .Ill No. Compartments ---•------- ---------- <br /> P Y M Foundation <br /> Material----------- - -�- <br /> ---------------------- <br /> -4 <br /> - ----- - ------- prop. Line - <br /> Distance to nearest: Well __, :______.ms_µ- """"-------- - - <br /> -4< to ' <br /> Total Length <br /> LEACHING LINE [ j No. of•..L•mes ---- -- ---- ----- Length of each.�l�ita.. � ------ -- -- ------ g -------------------------•-- <br /> Box _._ T e Filter Material •_r_�_ _- " `-De t <br /> ' YP �`"� � p"��FElter�Material -------------------------------------- <br /> D' ...--- <br /> i Property Line. - " ----- <br /> I Distance to nearest: Well _____�__________.------ Foundatyion � P tY - - ---•--•---'""' <br /> - --------------------- <br /> F SE><PAGE PIT [ ] Depth Diameter "--------------- Number ------ ----------'------ Rock Filled Yes ❑ No I❑ <br /> ----- ---------- <br /> i t' Rock <br /> Water Table Depth `------------- ---- �5ize ---------- ~` <br /> �� w <br /> ---------- <br /> {{ '`--------Foundation Prop.,i Line---------------------- <br /> Distance to nearest: Well _____t_._____ <br /> Datei;.�---- -------------------- <br /> Ir <br /> -------- - } <br /> REPAIR/ADDITION{Prey-Sanitation-Permit�#--"_-_-�'------------------- �---- -•�- <br /> Septic Tank (Specify Requirements) _________ `" <br /> --- ------ -------- ----- <br /> -Ir '- ----- -- --- <br /> r�y� r ., ._ ` <br /> Disposa eld (Specify Requirer;ent <P _ .; s s <br /> _ - -------- <br /> N <br /> C 113------ ------------ <br /> {Draw existing and requFr addition or, reerse side) <br /> UlkJ1692rby certify that I have prepared this application and that the work'will' be done in accordance with San Joaquin <br /> County Ordinances, State Laws, and Rules and Regulations of #fie SaneJoaquin Local Health District. Home owner or lice>.- <br /> sed agents signature certifies the following: y. <br /> "I certify that in the performance of the work for which this permits issued, 11'shall not employ any person in such manner <br /> as to become subject to Workman's Compensation laws of Califonic." <br /> Signed Owner <br /> - - ------------ -------- -------- <br /> ---------------- - - <br /> --------------------------- <br /> i ' -- <br /> Title ----- <br /> ( f other tha er] ) <br /> FOR .DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY_ ____ -- - - - --------------- <br /> DATE `.. o-lx----------------- <br /> BUILDING PERMIT ISSUED ----------------- ----------- <br /> -------DATE --------- -- ---- -------- --------------- <br /> ADDITIONAL COMMENTS----------------- ---- ------------- -------- - <br /> t ------------ - ---------- <br /> ------------------------------ -- --------- <br /> - - ------------------------ ----------------------------------------------------------- <br /> ----------------------------- --------------------------- ---------- <br /> i_--_____.___-__- . __._____ <br /> --------- ---- � y'G, <br /> Final Inspection bY' _ --------- ------------------ -------------------------- Date <br /> - - . <br /> SN JOAQUIN 'L'OC#L.+HiEALTN DISTRICT <br /> E, H. 9 1-'68 Rev. 5M t,,,e-0 �u -"\ L <br />
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