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LIQUID WASTE PERMIT <br /> SANJOAQUIN COUNTY PUBLIC HIA1 115TRVR:ES ENVIRONMENTALHEALTH DIVISION <br /> 3NE.WEBERAVE3`-'FWOR,STOCLTON.CA 95202LM)46X-3120 ^. <br /> RON- <br /> tFUNDABLE <br /> JOBADDRF.$$ /JGg�R R p (�PERMIT 1:%�F.tiIY^RZ OMBITOE ISSUE �� PARCELSII :-7 <br /> OOSUPCITYlAJP BUILDING PERMIT E! pp- Wo 2005- <br /> OWNER <br /> 'NER NAME. TrJ/7� ADDRESS 3I[,uyL,�p1p LyYt�./1 Lj/ <br /> aTrme__1�J.L-k41f¢�p� PHONE NUMBER. <br /> CONTAAR00. r1 //f ADDRESS_ <br /> CITYMP �L/TAP/TCSG/.L _--,. PHONE NUMBER <br /> 1 <br /> GEOGRAPHICAL INFORMATION: COORDINATES:X 1' TOWNSHIP. __._RANGC_SECTION <br /> TYPE OFSEPTIC WORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS:_ <br /> NEW INSTALLATION tK RESIDENCE NUMBEROFREUROOMS: <br /> ❑ REPAIRIADDITION ❑ COMMERCIAL <br /> NVMSEROF EMPLOYEES: <br /> [3 DESTRUCTION O OTHER <br /> ❑ BNCINEERED-ALTERNATIVE. <br /> CHARACEEROF SOIL TO DEPTH OF 3': PITMUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> Cl PERC TEST(S) IIOWMANY APPLICATION# f. <br /> pf SFETICTANK TYPE'MFG F L CAPACITY ,'}yJ-E)O #OFCOMPARTMFNTS o` <br /> ❑ GREASE TRAP TYPEMFO CAPACITY _ #OFCOMPARTMENTS <br /> ❑ PKGTX PLANT DISTANCE.TONEARIVIT: WELL FDI:NDATIOR PROPERTY LINC <br /> ❑ LI❑'STATION RV.P: _ _ TvrF.OF n•Mr_ NANDOILSEPARATORMNCLOSEDSYSTEM) <br /> k/ XOF LINES: LENGTH OF LINES J� <br /> T' <br /> LEACH LINE �r Diel'Ant'[TOrvuvicen WELLL/fJc WONDATION PgOPERTY IIAEL <br /> INRJTRATORCHAMHERS: <br /> ❑ MUTERBED W'IOTN IF.N(DH DEPTH owi'wnC[ia v[wn[c0 WCLL POWND&TON PROPERTY LINE <br /> ❑ MOUNDED WIDTH LENDTN DErTH OIRTwrvRTn[¢u[m: WELL_ FOUNDN"ON PROPERTY IJNS <br /> ❑ SUMPS WIOTN_ LENGTH_ DEPNI_ DIs[uYc[TGxku[Ti: WELL_ PDI:NOATIDN PROPERTY LINE_ <br /> ❑ DISPOSAL PONDS WIDTH LENGm DEFI'N_ .1.1ETOMA.SW; WELL__ FOUNDATION_ PROPERTY LMC <br /> ❑ SE.SPAGEPITS # DIAMETER_ UEFR VIT&NC[TONAAR[m WELL FOUNOAOOF PROPERTY UN'E_ <br /> IHEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK H ILL BE DONE IN ACCORDANCE WRIT SAN JOAQUIN COUNTY ORDINANCTS.STATE LAWS cn <br /> AND RULES AND REGUL&RONS OF SAN JOAQUIN COUNTY. <br /> � /MINIM UM 34 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)4 1-3427 r <br /> SIGNED: _TITI.F.: DATE: o— OCG <br /> ITI <br /> it <br /> ! - <br /> 1 , <br /> , j ) j I T I i <br /> - <br /> �- fsv D. '. . . rsCr� . .............. <br /> 1 f- - — _ <br /> --.. ° <br /> —r �TT <br /> i 'ISS WF <br /> I I <br /> [[T7�1�1�S �� �� DEMRTMENT U1SF.ONf.Y �{p (] G <br /> APPLICATON ACCC`�PT�EfD�DY:_&�(J7��JA/_W{ _ �'DDAAIF S-1O-Z. ARF& A3 -EMPLOYEE CR�I3�+MSODI LOCATION <br /> IN51ECL}DHYD]1111 \ DATE,4 b j/PPAMITlMAL,/YESDATE4 INSPECTOR l�a <br /> PECOOk Y'INIO AVOLMi [N ..EH RECFJ D DniE PFRMCRERVKE REtAlER1 INVry( SFPfI<Ip <br /> REMfI'fED BY <br /> 4-211 11-7 3110 67830 o S900'14-1 45 <br />