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LIQUID WASTE PERMIT 7:S-3 >G 1,7 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> Dr 3WE.WEBERAVEJ01FLODR.STOCKTON,CA"2021B)9)J1NJR2D <br /> /fir /ql\1 .NU/.NE-REFUNDABLE PERMIT i.KPIRE31/l15R11 <br /> YEAR FROM DATE ED y PARCELSIPL/ O� <br /> JOB ADDRBS4 ��O/ / Y�p EJ APN /_O� �'LO�U I/CJ <br /> • aTvzr + 'yr / S l0 6 <br /> BUILDING PERMIT 0 n0 nn <br /> may' .-. � �/ 20 2Y <br /> oYYNea rvAME ADD.-$B 49-2�E.�.E--Oji'✓-' <br /> CRY?JP PHONE NUMBER <br /> CONTWCTO /I ADDRESS /JI/�/)1�/ _i9 <br /> CITYZP �,Zd1 A JlW Pce//� <br /> /J <br /> HONE NUMBPR„�IJ W� % �+ y <br /> CEOGRAPHIGLINFORMATION: COORDINATES X Y__ TOWNSHIP_EANGE_SELTION_ <br /> POFSEJP7CWORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS:_ <br /> EW INSTALLATION Av HESIDENCE <br /> ❑ REPAIP/ADDITIONO COMMERCIAL NUMBEROFBEDROOMS: dif <br /> ❑ DESTRUCTION ❑ OTHER NUMBEROF EMPLOYEES: <br /> ❑ ENGINEEREOIALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 34 PIT/SUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> ❑ PERCTEST(S) HOW MANY/+ APPLICATION# <br /> �E / �a <br /> EPTICTANK TYPEIMFO ry CAPACITY Z[PQQ #OFCOMPARTMENTS ` <br /> ❑ GREASETRAP TYPEIMFG CAPACITY #OFCOMPARTMENTS <br /> ❑ PKGIX PIAN' DISTANCETONFAREST: WELD FOUNDATION_ FROM LINE_ <br /> ❑/LIFTSTATION SIZE ixpEOP PUMP //`� SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> Q LEACH LME #OFLINES: LENGTH OF LINES:6Q/ oNTAnaroxEwR¢ wF1L/PD's FOUNOAiION�fPROPERiv LINE 'No` <br /> INLITRATORCHAMBERS: <br /> ❑ FILTERBED WIOTH_ LENGTN� DWTM_ M¢ C[TOHGRRT: WELL_ FOUNDATION_ PROPERTY UNE_ <br /> ❑ MOUNDED WIDTH LENGTH_ DEMI_ oI AwzTONmA , WELL FOUNDATION PROPERTY LINE_ <br /> ❑ SUMPS WIDN_ LENGTH_ DE>PH_ DMTA MNN PUT: WELL_ MIUNOATNW_ MOPEATYUNE_ <br /> ❑ DISPOSAL PONTOS WIDTH <br /> _ LENGTH__ DEPTH_ o.HaTTOn. WELL_ FOUNDATION PROPERTY UNE_ O <br /> d� <br /> • ❑ SEEPAGE PD9 # DIANETER� OEPIN� olxiµC[ronEuai: WELL_ FOUNDATNIN_ PROPERTY LINE_ J <br /> 1 HEREBV CERTIPYTHAT I HAVE PREPARED THISAPPLICATION ANDTHE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUING'OUNTY ORDNANCE$STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> NIMVM1 AD ANCEN TICE REQUIRED FOR I NSPECTIONS-PLEASE.CALL <br /> .�(2rf009)/68.3{13 /J <br /> SIGNED: TITLE:�.1//�wY.[rn DATE:�'�CL <br /> — L I PAN IT <br /> El VEC <br /> N <br /> C. <br /> N UI C UN <br /> G o •� <br /> a <br /> DEPARTME E LY <br /> MRI ......,� ,,oo 9�J'] <br /> PLICATN ACCEITYDE�. ) GATE /MFA�QEMMDYEE Ipy�l -�DI$TMRIpCAT10N� <br /> INSPECTED BY: •✓ DATE: OZ Le<.DATE: INSPEGTOB: I_J <br /> • COMMENTS' <br /> I'¢IVDE FC INFO MlpyN} F[KrC N A¢CB VEp MiE P..IT..mERwU. INVOKU ;YpTlGld <br /> P H RED <br /> 320 <br /> usual <br />