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03/31/2005 09:21 20949557360 PARRI5H PAGE 01 <br /> LIQUID WASTE PERMIT I R� CyTI�e7 <br /> _ SAN TOAQUIN COUNTY FUBLX HEALTH SER VICES ENVIRONMENTAL HEALTH DIVi-5101P^'Q U <br /> FpY 304 E.WEBER AVE,3R°FLOOR,STOCJ:'TON,CA 952.02 (249)4M.3420 FzC)� A <br /> 1 JOB ADDRESS=' <br /> DDRESSfe N N-RE T I FR M <br /> CTIYYLTP <br /> .11 PARCEL SIZE/APN <br /> OWNER NAM <br /> APDAESS <br /> CTTY!;'IP <br /> PHONE <br /> CONTRALTO C �J <br /> J ADD ''S , v <br /> CITYlbP <br /> GEOORAPHICAL INFORMATION:COORDIANTES: —Y TOWNSHIP RANG . <br /> f=�_SECTTON_.__ <br /> PERCTEST(S)( )HOW MANY_ APPI.ECaTIONN' <br /> ❑ NEf �s <br /> TYPE OF SEPTIC WORK: W INSTALLATION .4 PITAIPJADDITION �+DE5TRUCTION0L'V ^"0'�� Y <br /> �cP <br /> r INSTALLATION WILL SERVE: REStDENCE. <br /> D COMMFR{CTRL ❑OTHER <br /> NUMBER OF LIVING UNITS: I NUMBER OF BEDROOMS:_, NVMAEROFEMPLQYEFsy- <br /> CHARAirTER DE SOIL TOA DEPTH Op FY.El-: PIT/SUMPSU[L[7HARACTER: - <br /> ❑SEPTIC TANK/GREASE TRAP TYPFIMFG� G WAiRR iAB,I.�DEPTFI <br /> -C:APACI7Y I�4(� _NU'I ROPCORTMENTS <br /> O PKO TREATMENT PLANT DISTANCE TO NEAREST: WELL FOUNDATION ` PROPERTY LINE I <br /> ❑LiF1`STATIDN SIZE_ TYPE OF PUMP <br /> (S,�AND OIL SEPARATOR(ENCLOSED SYSTEMI <br /> L7 LEACHING LJNE NUMBER Q LENGTH OF LINES ! r r V I INFILTRATOR CHAMBERS <br /> hey / <br /> DISTANCE TO NEAREST: WELLDO � PROPERTY LINE <br /> �FOUNDA-nON,- _ , _ -Ci <br /> 17 FILTER BED WIUTH�`_ LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION: PROPERTY LINERwG-NT <br /> dMOUNDED WIDTH LENGTH DEPTH '- REOFIVED <br /> 4t I DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> EPAGE PIT$ WIDTH — LENGTH_.. pEprH �[I jj��.r <br /> t <br /> - DISTANCE TO NEAREST: WELL— <br /> •-12– _PROPERTY 7JNg <br /> d svMPs wmrH PUSUC HEALTH SERVICES <br /> LEN[Trx DEPTN "Am"1NMENTAL HEALTH OIVISIpN <br /> D DISPOSAL PONDS WIDTH <br /> DISTANCE TO NEAREST, WELL FOUNDATION PROPERTY UNE <br /> LENGTH DEPTH _ <br /> ""-- DISTANCE TONEARF,ST: WELL POUNDAT10N-PROPERTY LINE <br /> 1CERII'IPY THAT I <br /> OffE PREPARED THIS APPLICATION ANDTHF WORT(WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> �"4 S. E LATIONS OF SAN fOAQUTN COUNTY, <br /> STONE I <br /> Tfi _DA16 <br /> I SUNNY ROAD <br /> p i <br /> � eC2 <br /> CD <br /> � m <br /> L M <br /> li <br /> r <br /> FON t-OAATWCC TUSK ONLY <br /> APPEICATION ACCEPTED BT, <br /> TANK.Pli,OR 541Ri INS+'ECTEll SY: I, <br /> LsrS1 DATE: n <br /> 'b` ..�L.. : r <br /> FINAL INSPECnON By --PATE <br /> � <br /> d <br /> IV <br /> PB COee Sc AMU I CIIFCXJU RECEIVEo9r DATE -..PERMrr/SERICE AEOUFSTe <br /> INPRO EMITTED CASH VSEPTIC TAY I <br />