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z ' LIQUID WASTE PERMIT <br /> $AN1pADHEALTH MENTALHEALTH DIVISION <br /> IIIA E.WEBERAVE3FLOORESTOCKTON.CA"M IM)468.34N).34N) <br /> N N LE PERMIT E%PIRFS 1 YEAR FROM DATE ISSUED <br /> JDE ADDRL64 i (/?lrE/L/'o /�/p%v'_N� APN y� <br /> �" Olr )1 y - 'ARC.',111�' /lEJ G <br /> LL <br /> Cmlm /� P.ICFLYBUILDINC PERMIT. <br /> ONTICR NAME J�G-Y/CSI WllEf�/]FNf.Y RR��JIV✓<ANDREW <br /> CITY2V �R`J/C.G����n �z PHONE <br /> ADDRESS <br /> CTYGPMONL NUMBER—-!?UMGBER yS //G�� <br /> !e$'� <br /> GEOGRAPRICALINPORMATION: C MNATER:X ,Y -Tp WNSHR_RANpE_SECTpN_� <br /> TYPEOPSEMCWORW INSTAI"TION WILL SERVE: NUMBEROF LIVING UNITS:_ <br /> ❑ NEW INSTALLATION ❑ RESIDENCE NUMBEROFBRDROONIS; <br /> ❑ REPADUI ITION ❑ COMMERCIAL <br /> ❑ DESTRUCTION ❑ OTHER NUMBEROPEMPLOYEES: _ <br /> ❑ ENOMEEREO'ALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF Y: PITISUMPSOIL CHARACTER: WAIEKTABLEDEPTI _ <br /> YO PERC TEST 151 NOW MANY �_,APP❑CATK)NB <br /> ,❑` BFPDC TANK TYP&MFG CAPACITY NOFCOMPAKTMENTS <br /> ❑ GREAEET9wP TYPEJMFO CAPACITY KOFCOMPARTMENTS N <br /> (3 PKGTR PLAXI DISTANCETONEARFAT: WELL IOUNDATION__ PROFERTY ONE <br /> ❑ LIFTBTATION SIZE TwBOE PUXP SAND OIL SEPARATOR IENCL06PD SMEN) <br /> ❑ LEACH WNF. #OF LINES:_I.ENGTHOF LINES:_ vuTwTtR Tvwuu'r WELL_ H)UNDATON_ .01ERTY LINE_ <br /> WFLITRATOR CHAMBERS: <br /> ❑ FILTER BED WIDTH LENOTN_ pEPH1 p6T.KETONGIIRT: WELL__ FOUNDATION PROPERTY LNC CSCS <br /> ❑ MOUNDED WIDTHLENGM_ DIOIN_ OHRAK TDNEARST WELL_ RVADATIDN PROPERTY UNE N <br /> ri <br /> ❑ SUMP6 WD)1N_ LEHDTNDErtH. v TONFfRPR; WELL FOUNDATION PROPFATYLINE_ <br /> ❑ DISPOSAL PDXDS WIDTH_ LENGTH_ DEPTH NETAM-LTpNGWNf; WELL FOUNDATION_ PRMERTYUNE_ O <br /> ❑ SEEPAGENEW M pl TMS OFPTH" DAIAKITONGRRT: WELL_ FOHNDATR _ MOPERYY UNE_ <br /> INERESYCERTIPYTHATINAV lREIAREBTNIBA CATION ANOTRE WORK WILL ft DONE IN ACCORRAI1Cf WITH SAN IOAQUIN COUNTY OMINANCM STATE LAWS d <br /> ANDRU ANDRBGULATIONSOFSANHIAQU1NCOUNTY. <br /> .EINIMVM2 6 I E NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(309)EBLN17 <br /> SIGNED: TITI.E:� DATE: l OZ C3 <br /> ` t - _ z <br /> �r <br /> I <br /> -T---'--r-,- ..._ ; ,, .dam_ ,rn • _, ' <br /> _ N <br /> N y Aw U N <br /> DIxt <br /> _.�fL i t—.-� Y� >; ON pb i R� •� � `°w _�{i� l I ,__�[,yF _ <br /> gdg <br /> IZ t <br /> I I <br /> DePArTMe���1TT'1DB1$$$EEE r <br /> AWOCATONA -V�^E�``-_' WTE11ASIA0SIC, <br /> ATEOHINSRMI A LpEATKN <br /> HALO Y69 DATF: _IN4ElTOR: <br /> � 1 <br /> RONZ 11 <br /> 5[DDE MMFD .yN1{IN [NN. X <br /> MOT'S DALE pERMIFBEPVICE PkyVFETF NVDK9 6EFFk <br /> REMITTED by <br /> zzz St 1-72 /)Iff f I 2pi—f6 a 30 8 94 <br />