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2689
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4200/4300 - Liquid Waste/Water Well Permits
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2689
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Entry Properties
Last modified
1/14/2019 10:04:57 PM
Creation date
12/5/2017 2:16:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
2689
STREET_NAME
FABIAN
STREET_TYPE
RD
City
TRACY
RECEIVED_DATE
06/24/1952
P_LOCATION
C A RANDOLPH
Supplemental fields
FilePath
\MIGRATIONS\F\FABIAN\0\2689.PDF
QuestysFileName
2689
QuestysRecordID
1761161
QuestysRecordType
12
Tags
EHD - Public
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-� <br /> ` APPLICATION FOR SANITATION PERMIT <br /> (Complete in Duplicate) <br /> Aoo||cu6on in hereby made to the San Joaquin Local Health District for o permit to construct and install the work herein described. <br /> T6�� application is made in compliance wRh County Ordinance No. 549, <br /> - <br /> JOB ADDRESS AN LOCATION ----- <br /> I , , , -, a�_ ---- -----f-7 _S t F-,>- <br /> -------------------- <br /> Address <br /> Installation will serve- Residencex Apartment House Lj Commercial F-1 Trailer Cour't [] 'Motel [-] Other <br /> Number of living units: '7� Lot size -0 <br /> Wafer Supply: Public system El Community system E-] Private <br /> Characterof soil toa depth of 3 feet: SandE] Gravelo SandyLoamE] CiayLoamC] ClayyAd,be Hardpan E] <br /> ard <br /> pan <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public s9wer is available within 200 feet.) <br /> Septic Tank- Distance from nearest well__2��j5P-----Distance from foundation----- <br /> � -- - --_-------_------_-- `+^ <br /> Seepage Pit: Distance to nearest well----------------------Distance from founcla�ion--------------------Distance to nearest lot line- <br /> ' ElNumber o/ p/" un n material SDiameter Depth24 <br /> Disposal.- Field: ----- ''-.. ..^~'`^ ~.....^" from .°"""=.."" =sfa"c= no neopo,rJ <br /> de—s=tr—b -�__ 11�__ - 4--- I,/--------------- <br /> ------------ <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local-Health District. <br /> (Plot plans, showing size of lot, location of' system in relation to welis, buildings, etc., must be filed with this application). <br /> F�qlk DEPARTMENT USE ONLY <br /> --------- <br /> Alterations and/or` recommendations:---------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------'—'------------------'---'--------------------'-------- J <br /> .-_--_-_-.--.----_-.----------------------_----_---'---------_--_------_.----_-.----_--_-----. <br /> '-___-_-,--____.-----.__..___---___----_-_-_-_----___-_.___-___--_--___..__._-_ . <br /> '---'---'-'''-----------------'---------- -----------------------------------------------------5^ <br /> PERMIT No''''--__.''' ISSUED------------------------------------------ FINAL INSPECTION __ � <br /> Date-------------------7�-_'/.��_����.^� <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT - <br /> 130 South American Street ^ <br /> � <br /> Stockton, California <br /> ss-/9 -2w 9-50 W-163(? <br />
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