Laserfiche WebLink
LIQO,4WASTE PERMIT <br /> r <br /> SAN JOAQUINCOUNTYPuBLICHEALTHSERVICES ENVIRONMENTALHEALTHDIVISIQ4 HR TIC <br /> IDIEWEBERAVE..J"°FLOOR.STOCETON,CA 953M (389)468-5438 REC:�UCSTE <br /> P RNIIT EXPIRES I YEAR MOM DAM ISSUED FOR ALL <br /> low JOB ADDRESS 2,775-6 E• , ibkeAy IN$F'ECTION <br /> CI'MZP \ 11--�� J PARCEL STIFJ <br /> APN <br /> OWNERNAMH J I WI AY; Wy o ADDRE" L v <br /> CUYZP -7,7- -26b C RONE Tid? 1610—991q <br /> CONTRACTOR dLIJYI'Q IL / ADDRESS <br /> CTIYZP PHONE <br /> GEOORAPHICAL�INF�ORMATION:COORDIIAANTES: X Y TOWNSHD•_/R�.A�N`GE_y=ON_7(' <br /> PERCTEST(S)SY'C��LLHROW MANY R, �' APPLICATION#: <br /> TTPEOFSEFTTCWORR: MEW INSTALLATION B RFJ•AIWADI)MON O DFSIAUCRON <br /> INSTALLATION WILL SERVE MEW <br /> ❑COMMERICIAL C3 OTHER <br /> r NUMBEROFLIVINGUNM I NUMBEROFBEDRODMS:—:3- NUMBEROFEMPLOYEES: ` <br /> C--H/AARACIPROFSOILTOADEPIHOFJFEEI: PR/SUMPSOB.CHARAC : WATER TABID:DBPfH <br /> _ <br /> LTSEPTICTANR/GREASETRAP CAPACITY /OlJO �' 'WU#Ip�fyDFCOMPARTMENTS y <br /> ❑EKG TREATMENT PLANT DISTANCETONEAREST: WELL_ UNDATIO /99 F/PRR}}ODyyP�SERRK JNE <br /> r 13 H STATION SIZE TYPEOFFTMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> � <br /> (]/ I-P /� <br /> LEACHING LINE NUMBER&LENGTH OF LINPSJ /r}O INFlLTRATOR CHAMBERS /I t�L <br /> DISTANCETONEAREST: WELL ]FOUNDATION /00 / PROPERTYLINE � -A <br /> ❑FILTER BED WIDTH LENGTH DEPTH <br /> r <br /> DISTANCE TO NEAREST.WELLFOUNDATION: PROPERTY LINE <br /> ❑MOUNDED WIDTH LENGTH DEPTH (� <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE I 1 <br /> r ❑SEEPAGE PITS WU)TH LENGTH DEPTH 1 <br /> DLSTANCE TO NEAREST: WELL FOUNDATION PROPERTYLINE <br /> ❑SUMPS WIDTH LENGTH DEPTH <br /> DISTANCBTONE4RFST: WELL FOUNDATION PROMS LINE _ <br /> ❑DISPOSALPONDS WIDTH LENGTH DEPTH <br /> DISTANCETO NEAREST: WELL FOUNDATION PROMS LINE <br /> IHEREBYCERTIEYTHAT(HA PARED THIS APPLICATION AND THE WORE WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNPY <br /> ORDIANCES. TE L,(.WS�AN ,}PID REGULAII OP SANJOAQUIN COUNTY. /'�I <br /> r SIGNED TITLE Q. DATE: ( o <br /> him <br /> T i E MIN <br /> r <br /> OXI <br /> P"'RttttG6 <br /> Q H Isi N Tv' DVI 10 <br /> U <br /> 'r <br /> R DBPARTMPM USE An" IOXLY A,' <br /> APFlICATON ACC'FPIFD BY h/�H �-��"J STB: i y w <br /> TA ,PR,ORSO MSPECTBDBY: T6 ✓' <br /> PINALIN9PEC1'ION BY' I <br /> r i� S SC J G <br /> wnlMEnrs: <br /> PBLVDE sc AMDUNP c MFLErvm Br DATE P ffaBtVIQ'RFQIIF3Tx BPPDc IG <br /> INFO R@RPI PD nSX <br /> r '/z// o S a <br /> Ina . <br />