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SU0004700
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LINNE
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2600 - Land Use Program
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PA-0400622
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SU0004700
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Entry Properties
Last modified
5/7/2020 11:31:07 AM
Creation date
9/6/2019 10:55:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004700
PE
2631
FACILITY_NAME
PA-0400622
STREET_NUMBER
10476
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
APN
25312030
ENTERED_DATE
11/16/2004 12:00:00 AM
SITE_LOCATION
10476 W LINNE RD
RECEIVED_DATE
11/15/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LINNE\10476\PA-0400622\SU0004700\APPL.PDF \MIGRATIONS\L\LINNE\10476\PA-0400622\SU0004700\CDD OK.PDF \MIGRATIONS\L\LINNE\10476\PA-0400622\SU0004700\EH COND.PDF \MIGRATIONS\L\LINNE\10476\PA-0400622\SU0004700\EH PERM.PDF
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EHD - Public
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\ �� LIQUID WASTE PERM` <br /> j rv�GAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMEN,..o'HEALTH DIVISION <br /> 304 E.WEBER AVE 391 FLOOR,STOCKTON.CA 95202(209)4 H-3420 <br /> NON-REFUNDABLE PERMIT EXPIRES IYEAR FROM DATES ISSUED //� <br /> JOB ADDRESS > Z L/l GC/ .L//L/LA� APN ' / JV' PARCEL SIZEfz�f% J <br /> CITY/ZIP p.� n BUILDING PERMIT# �{ / <br /> OWNER NAME ADDRESS <br /> CITY/ZIP AG PHONE NUMBER <br /> CONTRACTOR = �/�CG ADDRESS y <br /> OG" V ���(!✓/1/�rtS /L > <br /> CITY/ZIP � /.�'//7�ri�i - PHONE NUMBER <br /> GEOGRAPHICAL INFORMATION: COORDINATES: X Y TOWNSHIP RANGE SECTION <br /> TYPE OF SEPTIC WORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: <br /> O NEW INSTALLATION ❑ RESIDENCE NUMBER OF BEDROOMS: <br /> REPAIR/ADDITION ❑ COMMERCIAL <br /> NUMBER OF EMPLOYEES: <br /> Ll DESTRUCTION ❑ OTHER <br /> ❑ ENGINEERED/ALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 3% PIT/SUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> ❑ PERC TESTS) HOW MANY APPLICATION It <br /> ❑ SEPI'ICTANK TYPE/MFG CAPACITY #OFCOMPARTMENTS <br /> ❑ GREASE TRAP TYPF/MFG CAPACITY #OFCOMPARTMENTS <br /> ❑ PKGTX PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ►❑J LIFT STATION SIZE TYPE OF PUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> yl, LEACH LINE #OF LINES:A LENGTH OF LINES: D- msiANCETONEARecR WELL/ovY'/NDATION /PROPERTY LINE" 1 <br /> I INFLITRATOR CHAMBERS: <br /> ❑ FILTER BED WIDTH LENGTH DEPTH_ DISTANCETONEARceE: WELL FOUNDATION PROPERTY LINE <br /> R <br /> ❑ MOUNDED WIDTH LENGTH DEPTH DISTArvGe iOrveARPAT: WELL FOUNDATION PROPERTY LINE <br /> � <br /> SUMPS WIDTH_ LENGTN_l� DEPTH DISTANCETONEARLST: WELT/1✓ FOUNDATION PROPERTY LINE <br /> ❑ DISPOSAL PONDS WIDTH LENOTH DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑ SEEPAGE PITS # DIAMETER_ DEPTH DISTANCETONEARMT: WELL FOUNDATION PROPERTY LINE <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS C <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. t, <br /> MINIMUM 24HOURADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE—CALL(209)469-3423 <br /> SIGNED: �( �� t TITLE: ti�_�.1iY/�//s� DATE: <br /> I <br /> � <br /> r --L t r r- p tea boa uI cu <br /> 4 L,. L TD 510 r <br /> % <br /> I � <br /> = <br /> 1 �T <br /> 71 y <br /> q/ DEPARTMENT q SE O LY '( <br /> By: <br /> APPLICATION ACCEPTED B / DATE: kR EA2- -EMPLOYEE ID# DISTRICT LOCATION <br /> -791 �� <br /> INSPECTED BY: �l.GZ DATE:/J/ate ���PERMITFINAL� YESDATE.z #SPE R. <br /> COMMENTS: - - <br /> PECODE SCINFO I AMOUNTCHECK ICASH RECEIVED DATE PERMITSERVICEREQUESTN INVOICED SEPT <br /> REMITTED BY <br /> �2i5 2 C� o 75 2 <br /> IEDLI."I <br />
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