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WP0038845
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038845
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Entry Properties
Last modified
4/26/2019 8:49:24 AM
Creation date
4/26/2019 8:41:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038845
PE
4373
STREET_NUMBER
9716
Direction
N
STREET_NAME
LELAND
STREET_TYPE
WAY
City
STOCKTON
Zip
95212-
APN
08510303
ENTERED_DATE
10/3/2018 12:00:00 AM
SITE_LOCATION
9716 N LELAND WAY
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
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istalled By ❑ Driller "hump Contractor ❑ Other <br /> Concrete Pedestal ❑Dimensions: Width ft Length ft Thick in ❑ Christy Box ❑ Stove Pipe <br /> 'Submersible❑ Turbine ❑ Other HP ;9�= Pump Set ft Standing Water Level 7 - ft <br /> FY THAT I HAVE PREPARED THIS APPLICATION! AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> -Y ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> kC T IVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AIS IN COMPLIANCE WITH ALL <br /> ENSATION LAWS. <br /> 4 r V'ANCE NOTICE REQUIRFED FOR INSPECNS - PLEASE CALL (209) 953-1 69 <br /> TITLE DATEU� <br /> N 61 <br /> F7� �'• _ ,�_ �-y <br /> T- I <br /> hk--- ------ -- - <br /> DEPARTMENT USE ONLY � <br /> ;cepted By Date Area Employee ID# <br />
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