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LIQUID WASTE PERMIT <br /> ✓ SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> 30.4I�E'WFC.E;1,1�CIR/AVE., <br /> ,3�D FILOORSTOCKT0N,CA 95303 (209)468­3120 <br /> .r Y AROMDArypf .. C <br /> B ADDRESS *19 <br /> TYILIP ..JC/�'�'� 4s'2�,- I ) PARCELSIMAPN <br /> ` NNER NAME t,...�dA-4sJ-iQ16 ✓//ADDRESS 5 <br /> TYZP V PHONE <br /> )NTRACTOR'9 4�Yj •S PIAw/O/y�L� �y�G. ADDRESS A9A;w lg�� -t{ <br /> TYMP PHONE g:3 C IJ4Y4,/ <br /> GEOGRAPHICALINFORMATION:COORDIANTES: K Y_TOWNSHIP_RANGE_SECIICN_ <br /> PERCTEST(S)I IROWMANY APPLICATION <br /> ME 0FSEPTIC WORK: ❑ NEW INSTALLATION 9�,J REPAIWADDITION ❑ DESTRUCTION <br /> 211111STAI.LATIONWBJ.SERVE: ❑RESIDENCE (IB.f1OMMERICIAL ❑OTHER <br /> JMBER OF LIVINO UNITS:_ H�UMEJ�t9 FBEDROOMS:_ NUMBER OF EMPLOYEES:_ <br /> AARACTER OF SOIL TO A DEPTH OF 3 FEET: tz PIT/SUMP SOIL CHARACTER: a6d4j4ei WAIERI'ABIEDEPTH,f!�'fJ✓ <br /> SEPICTANKIGREASETHAP TYPEIMFG CAPACITY NUMBEROPCOMPARTMENTS <br /> PKG TREATMENT PLANT DISTANCETD NEARESP, WELL_ FOUNDATION_ PROPERTY LINE <br /> LIFT STATION SIZE TYPEOF PUMP SAND OILSEPARATOR(ENCLOSED SYSTEM) <br /> LEACHING LINE NUMBER&IENCTHOFLINES / <br /> / l *tp INFILTRATOR CHAMBERS <br /> `I DISTANCKTONEAREST: WELL SFOUNDATIONS-04P�' PROPERTYLINEy� <br /> I FILTER BED WIDTH LENGTH DEPTH <br /> DISTANCETO NEAREST: WELL FOUNDATION: PROPERTY LINE <br /> MOUNDED WIDTH LENGTH DEPTH <br /> r <br /> DISTANCE TO NEARLST. WELL FOUNDATION PROPERTY LINE <br /> L$EEPAGE PITS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> _ ISUMPS WIDTH LENGTH DEPTH <br /> DISANCETONEAREST: WELL FOUNDATION PROPERTY LINE <br /> - <br /> I DISPOSALPONUS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> HEREBY CERT) HATIHAVE ABED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> RDIANCFS. FLAW' r AN EGULAYIONS OF SAN JOAQUIN COUNTY. <br /> ONE& TITLE!�" DATE: <br /> ` J AOUIN U <br /> #iiiiiiL <br /> U <br /> na <br /> _ <br /> FOR DRPARTMWT ME ONLY <br /> PPUCATKIN ACCF,W.Y. ATC: <br /> yl AHK.PIT.OA SVMP MSPCRCO BI': OATC_ <br /> NALMSPELTON RT: <br /> OMMEMS: — <br /> PECODfi SC AM DUM CHECK RECEIVED BY DATE PERMDISERVICERCQUEFTP SEJRICBW <br /> INFO REMITTED S <br /> C,) S 00 S <br />