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4702
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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4702
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Entry Properties
Last modified
1/25/2019 12:34:48 AM
Creation date
12/5/2017 6:48:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
4702
PE
4210
STREET_NUMBER
5648
STREET_NAME
ARDELLE
STREET_TYPE
AVE
City
STOCKTON
SITE_LOCATION
5648 ARDELLE AVE STOCKTON
RECEIVED_DATE
12/16/1953
P_LOCATION
CHAS TINSLEY
Supplemental fields
FilePath
\MIGRATIONS\A\ARDELLE\5648\4702.PDF
QuestysFileName
4702
QuestysRecordID
1645580
QuestysRecordType
12
Tags
EHD - Public
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O APPLICATION FOR SANITATION PERMIT Permit No. _T�._..._.... <br /> (Complete in Duplicate) Date Issuel t-1. <br /> 3 <br /> Applica*ion is hereby made to the San Joaquin Local Health District for a permit to construct and install the work.herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION <br /> Owner's Name---------------------------------C./ZV,5----- -------1.0 I' ------------ Phone---- ----- - <br /> Address----------------------- 7_ <br /> - - / <br /> Contractor's Name 1 ' �n ---------------------- Phone ..... _A.�7.----- <br /> Installation will serve: Residences Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _/__-_ Number of bedrooms3'____. Number of baths ---/--- Lot size ._._.�. <br /> Wafer Supply: Public system ❑ Community system ❑ Private O Depth to Water Table ........ ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay am [3 Pay ❑Adobe Hardpan ❑ <br /> Previous Application Made: Yes ❑ No New Construction: Yes [:] No ❑ . <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> a septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> _._,Distance from nearest well-----------------Distance from foundation....................Material------------------------------------------------- <br /> No. <br /> -___--___---- _----_---______--__-.No. of compartments------------- ------------Size----------------------------•--.Liquid depth---------- -- ---------.Capacity-------------------- � <br /> offal Field: Distance from nearest well-.A .Q�.-Distance from foundation._�L3'.....Distance to nearest lot line..ff..... <br /> Number of lines___ I ____________------------Length of each line,.$'�O__'...........Width of trench.r�-��� --________-__ AType of filter mate ria ! R,%__.Depth of filter material__-__.fS! <br />
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