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APPLICATION FOR PERMIT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> .. 1601 E. PIAZELTON AVE.. STOCKTON, CA <br /> Tebpnom 12091 ASS-6781 <br /> PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> IComplow in Tnphcat*1 <br /> ApPk~s tanpa"rads 10 the San Ju"aA Lftd howl OI[mcf fa o paw w cawuocr atdlw awtal e+a wMY hr eaa 'NA, TM aopttwom,a <br /> maea,n eonllaarrp wqh S►�Jtlaauil Cpu•M ddnm0a Na 6aB fc+terrape w ho 1162 far wM+pump a•rd VW Rulr orrd Rap�bcont M era San <br /> L9W HoWh DJaa¢.nD~ <br /> be Adw w . ([ 3 /C05T _,f _ c" -Tr ac _ Lot s,, S-6o Y!� PM _. <br /> Orwwr'a Glom! .�Ci _ Aaa+arP <br /> ccratactara wlw rnp. 23 /� --.-..._ t <br /> TYPE Of WELLIPUW NEW YYEu NIELL REPLACEMENT ]} DESTRUCTION - t <br /> PUIW INSTALLATION SYSTEM REPAIR .1 OTHER G I <br /> OISTANCE TO NEAREST: STANK ._ SEWER LINES _� DISPOSAL FLO PROP, UNI -._ <br /> �- E'Pf1C FOUNDATION _ AGRICULTURE WELL _ OTHER WELL_ _. PITSlSIIRIPS%i_ <br /> WOODED,I.W. ,TYPE Of WELLSPECIFI'.ATHM <br /> -1 ireua7ai •L.. 7 OW IlIall Manlaea t_. Dla„d Wal Eaoaaaon_ Ow_of Waa CM'4 <br /> I Dm wtcPrrcna .. Gwvd Pad C Ttaca rry Tvoa ,I Ca[Inp__ SPacSEc oW4 . <br /> Pude OIr* _i;: Datw- _Doper at Grout SMl 'Tapp t!OHM - <br /> engau0n L=AWaa `Owpth fI Epwwn Sw4ta SW Www*pd W.,, _. <br /> 1 <br /> Aapa,WWt Oona ='' TTpa d Punro _ _ N P!._ SeaU We Dwal <br /> vbW Wpnuctan W.11 OWMW Swtaip MM[ni[I two W) _ ,�..•.�. I <br /> FOw Mounel IBM**Wo <br /> •Y a SEPTIC WoAK..�NEW!%STALlATION L REPAIR/AODMON C DESYRUCTTOh OW aappc"um pwrtatead it P0a4 epww a W <br /> ' aalrla➢le vwtrm 200�,1�� +`• <br /> .,.trwuaaton wd arrha -- <br /> Hume« d ,.,nq,•�a -1_ YunrOar d o.dwanw. <br /> Chowtar of toa to a dapM d 4*aat, i—?l-�y�+�ar�s •_.._ _� /�• _wast rYri dapyt _ <br /> SEPTIC TANK LC �Typ►r lrhS �-.,C.- a'•-`ra'^- .� --}^- C+paaeY�Y�+- - No. Cdupwwtin[a <br /> PK4. TREATMENT PLT Cl '� . .-\ • y i MUfhpd <br /> Dwta to naarM: NMI,,.JA.7`+ foui+0[Eon...4i r/epenr Lir �. <br /> LEACHING LIAtE or IIFp.CtAnperM Taw Immohlaaa ,� t <br /> ir.TER BEO Atw w'ta rarest: tIIM _ TTfe0adppsn paw Lyo�9 <br /> i v <br /> SEEPAGE PITS .0 a Depw —..m.._.�..SYa <br /> SUMPS ._.....,..�/ i /tr ,r Oi[tatroa b rrwrr' �''WM!i� .. � . PeaprlV th1 <br /> Dt5AOSAL Pawns C .. - 1• a <br /> I hnahy canar that 1 Map g g 1114 a00an0r0n and eur ter rawti wa t»aona n 41 c' xa.rah San yoaou.I C"Ift otaara•+0aa. MNa Na . ane I <br /> rs ane to d Ura a San J166ow:Lcfa' "ON" Datrct. �-. rr <br /> hip arettw 0 titYtrlod aWm'e$lplon"C rAft rw"awRp:.J owtft err n Lhe,pwlwrnatca ne ow won fm vrrrch Vra potent a awwd. 1 erre opt <br /> anr0ltra a^Y pwaPr n IJtA f1VrMY r b 010oarr aUGRS1 ro workman"t oor.patwalton IM d CJeorba."ColbMn�s Ni1p a aubcaarateYp a�'aNPa <br /> OWWot ww f0bl^ V ••I CWWV VM r ero po,4 n d vla,~l for wlytrl*a pwttat r taYrae. I t?"ampb/pwtwa n4KT to workmen's aonptw <br /> run ltrva d T.arw'Irp.". _. I <br /> Tire sootcara mrrr ull tp <br /> ao M , a rrWaartWrr. CePypWa 4rwrin5 wr Iwarfa rye -- <br /> .�J•.i 1 <br /> �p POR OEPARTMEIFT USE ONLY J� r <br /> Apdc~ A[taplae w _� /�Y/.6� _ Dow Am D 7 I <br /> Pi w Grout Mapecow by VIM Fil'al lodpocaarr by_ <br /> 1 <br /> ADM.dr11 C4'Itnenta <br /> Sdr +eaaW ' [] Led xaiWI III- Sa7toa C Tgwv 0s4= <br /> ApµcaM RaTlrm M OWW 10. Ernmw wl Hodlh POW&/Saaaraa 4M E "am~Avo P 0 Ma 200. Ser CA V40t <br /> j - AMONNT OUE AMOIM[iKlbT1{D CASH—4, -DATE_ M"TNO,_ <br />