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<br /> APl)1.1CATION Vol{ 1)i,RM1T
<br /> yA"{ ,lUAC2l11 N COUNT
<br /> Y 1)(llil�i C HEAT-111 S1iRV[CiiS
<br /> p:,NVIwNIdk,NTAL RE,U,'1'li 1)1V1510"4
<br /> 1 �U1 id. HA7.ELTON AVE. PHONE (2(]`-))'168-:1410
<br /> P () 130% 2009, 8TOCST()N, CA 052():
<br /> )ATI W"1i
<br /> E (Cur:p:l'tc in 'TE 1P1 testa)
<br /> A ltcn i.lc'n
<br /> Title
<br /> Ss hr rrby awdr t:, ;vin -...a y - ^ J.'. :.o .r...^tru't n:ci;'cr '::e t.nil t!n• v.,rk terra; Gescrtbr•d.
<br /> PY
<br /> '\;•. u'i sou 1L'-02 nr:d [hr
<br /> 'rubs nnu I+rgtzlntwnn of Sen
<br /> ap=,llretlon :n 11-31 in (•^'.z'I:anc.'
<br /> n County Nib Ic Hrnith ir!1'vl[rA. 'I• .--_-----
<br /> Jaequl
<br /> Owner's"lamb
<br /> Y-
<br /> Cor"�;.lu��� �-- ..-'�.._-�___�l•.l is Ir[('l;,Ci.'.'i'.i~' `L�t]�F+IJc:'iU•v '' C•a: or tiervlce Well
<br /> __.E OF .._._ _-_----- :,f-. trvIl 1. � Monitoring Nall �y
<br /> TYI'F 0� 1VELL.!Vl;e,t 1' SYSTf h' NE V.1iR n7HEN �
<br /> PL'h1r IN S T P'�l.A 110"4 iLC� P LINE -.
<br /> 'SF L'.FFI 11.•i E_S .._.-- (11`,i11`�:.1,
<br /> p!$TANCd TO NEAnFST $FPTIr TnN' ._.__._.. _ Jr•ICP t'.ftL-_ -
<br /> MPS
<br /> ALNr'tlL7lJl1Et'Fl. -�---- --- ----..-__.
<br /> -------_-.�'___"'-- FOUNDATION _._ -....
<br /> . ._.�_ .` T rPE OF ':J'.LL PPGF7l Flvt HE 1 t.)f4 S i l IO+ PFCIFIC AVON
<br /> N1J _
<br /> j INTFN�FD USE _ _ _ MA of%Nett Casmo
<br /> IndustrlN I Open Bn-nv
<br /> ' ,�Y ial,i.
<br /> i l Corns sl c+plI4arc i.. Gravel PAa > _...... type of Grout _ /IJ
<br /> 1 f71:na 0101h (i•nu: ^,"d1 _. Iii.
<br /> 011m,
<br /> „
<br /> ..r}A.tl CJI
<br /> n
<br /> I
<br /> Ai' 'o• Oojiln ! taatnm ' Sla.d VJn,L ODne
<br /> Napa,r Y:orw Dune TrPn al P1111111 -------
<br /> t,enllryS..Mnrerin: s Lh V�
<br /> Wall Destrucllon .;1 Wall O'arnnlnr .._.__-.-_._..._- Y:}1rr Matrrinl A Oep•.`., _.-..--�-
<br /> Deplh j lNo sepnc sy%161.1 Vermsled II 1:1,411:1,4114c;� sewer a Uri
<br /> ( SW(1NK, NLW IN5Tzl l_A ErUN ftt+'AIN A',11)i 11U� f y`.r} IOC ION-
<br /> ava,43tile Within 200 1uel.i
<br /> Ir'VL IF Lf'TIC
<br /> Inslalla bon wdl serve- NeslnC nib
<br /> NW-b” nt htld•oenrs - _
<br /> - Numl,Rr o1 hying units: _.�-.-- >)
<br /> I Water table depth
<br /> Character o0 sai to a cle"'UI 3 feet: CaP3cltr'. No.
<br /> ComPenmanfs �:�». -•----�-
<br /> O 2V
<br /> SEP)tC TANK 11 7'-P.1Mt0 _,---...---.__t-.. :_..__-_.___ r- Method of Disposal
<br /> T
<br /> f PKG.TNEATMEN7 PLT,1:1 n
<br /> D Fo,rrufn,Ion __ tet_- Yrohenr LI 6
<br /> ,ata lrcn to.16"411.1. tVrll
<br /> Total
<br /> LEACHING LINE �
<br /> No. 6 Lnr'rlh OI l'"S y_F. [..._.__F
<br /> _ /'� f011nC ailOn
<br /> f"-'Yropertv Line
<br /> FILTER BED I I Distance 10 naa,ran
<br /> SEEPAGE PITS
<br /> $UMPVFaundahnn
<br /> t
<br /> D151dnce to nnarestr WeII VV'__---
<br /> r;!$POStiI PONCS
<br /> I hvrBUY Cen:fy Ihid I have PlBpar eA this apt:' I'^n and that tett wO1k w•il Gr 6c,r•v rn d[[Urdan[9 wIl!:San Joaquin county Ordlnantee,slate laws. an
<br /> rules end re(jul•'hrin]OI the San.l Odq,l'rl OCL' .1 Cert,ly that In the performance(it the Koro lot v.hlch this Permlt Is Issuod. 13hdll not
<br /> IlDme owner or hca'sed ugr^t's slQnalu=e cert di[he IUIiowlnp
<br /> aert Nes th6 oe,sc.n.n s9 certdY lhai n the Vert Ormeui r`oluhe eo afnMwhlch ihLs Per ntalion alW5 IssueO�lhsha:amp oyapeoso"st,blecrl to mjub ,l mans Compensdng e
<br /> followi
<br /> tion laws of Celilornla."
<br /> Tons. Comp—we 0lawn4Q on rAvel36 Slda
<br /> The applicant mus='callll lot all
<br /> lttagWre( In sPeG
<br /> Df@�
<br /> 0 7_ -
<br /> f Signed
<br /> �- FOO DEPARTMENT USE ONLY
<br /> / [tale =�.:% �r/Lel Arno
<br /> Application Accepl6d DY ___��\ �_'� -�_�
<br /> {� [(t f-Date
<br /> F'nal 4nsVec hue by
<br /> Pit or Gfoul Inep6ction by ---- _�-- •D 31n�,� =��
<br /> Add*tinnel L.ommants: _—.------------- �`�
<br /> Unty
<br /> 7
<br /> Applicant, - Arturo 111.1 c•,p1ee Lc: Services. 1:nvlo.onnmentatltielalth•E'crmlllSrrr=�'"
<br /> lb(71 F.. 8axelt�n Avr., r' U Eia>< 2u09, --.c'n tan. CA Q`:•OL -_
<br /> By .._�_ OaTE �I PE n�,t17 NO
<br /> FTE I ARIOUNT CUf. AMOUNT RFMITTLT) CAA 11
<br /> M
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