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488
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GERTRUDE
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1004
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4200/4300 - Liquid Waste/Water Well Permits
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488
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Entry Properties
Last modified
1/25/2019 11:14:16 PM
Creation date
12/2/2017 12:35:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
488
STREET_NUMBER
1004
Direction
S
STREET_NAME
GERTRUDE
STREET_TYPE
AVE
City
STOCKTON
SITE_LOCATION
1004 S GERTRUDE AVE
RECEIVED_DATE
04/12/1951
P_LOCATION
LOUISE FLEMING
Supplemental fields
FilePath
\MIGRATIONS\G\GERTRUDE\1004\488.PDF
QuestysFileName
488
QuestysRecordID
1784021
QuestysRecordType
12
Tags
EHD - Public
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APPLICATION FOR SANITATION PERMIT <br /> (Comple+e in Duplicate) <br /> - . <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION---------1QQ_4--S- Gcr_t22__d_Q---------------------------------------- ------------------------I-------------------------------------- <br /> Owner`s Name-------------Z,C771.lSa__�'-1Bming <br /> � r-------------------------------- - - Phone---___�___�_63Q--------------- <br /> AddressOQ-4_- =+-•- _S:1'_ Lid ----------- --------------------------------------------------------------------------------------------------------------------------------- <br /> Contractor's Name-----------D1ta--------------------------- ---- ---- --- ----------------------------------------- ---------------------------- Phone--__7: 7----------------- <br /> Installation will serve: Residence U Apartment•House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: r Number of bedrooms fa, Number of baths [I Lot size---75---x 150___________________________________ <br /> Water Supply: Public system :E] Community system ❑ Private ❑ f Q <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobes E] Hardpan ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank:. Distance from nearest well_________________Distance from foundation--------------------Material __________________.--------------------------- <br /> _- <br /> No.-of compartments----------2-------------Capacity-----8-00---------Size-------------------------------Liquid depth-------------------------- <br /> -Cesspool: Distance from nearest well-----------------Distance from foundation---------------------Lining material-----------------------_---------____. <br /> ❑ Size: Diameter--------------------------------------Depth---------------------------------------------------- <br /> Privy: Distance from nearest well-------------------------------------------------Distance from nearest building---------------------------____________._. <br /> [] Disfiance to nearest lot line___________________________________________Y_ `f <br /> Seepage Pit: Distance to nearest well-------- -----------Distance from foundation--------------------Distante to nearest lot line___________._____ <br /> Number of pits-----2_` -----------Lining material___��iGk-----Size: Diameter_ ----Depth._c+ AfJ _ <br />
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