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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SMI JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1888 E.HAZELTON AVENUE-STOCKTON CA 9520S-(209)488.3420 <br /> NON-REFUNDABLE PERMIT CALL(,O9J 953-7897 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 8200 ST RT 99 E.FRONTAGE ROAD CRY/LP STOCKTON CA <br /> CROSS STREET E.FOPPIANO LANE _APN 085-310-10 pwRCELSIg 2.18 g <br /> OWNER NAME TULEBERG WAREHOUSE C/O JOE BAGLIETTO PHONE NGOC LE ST.LUKE CHURCH 2O0.772.98le � <br /> OWNER ADDRESS 301 S.AURORA STREET CrYISTATEZP STOCKTON CA 95203 <br /> CONTRACTOR TERRACON CONSULTANTS(NEIL 0.ANDERSON 6 ASSOCIATES) PHONE 203387-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CrrYJSTATEJZIP LODI,CA 95240 <br /> LICENSE ❑]G42 ❑ C-38 OTHER C57 NUMBER 669D04 EXPIRATION DATE 5131/19 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> IX PERC TEST #�_— —� BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: _ NEW INSTALLATION j REPAIR/ADamON D ENGINEER DESIGNED JALTERNATTVE <br /> REPLACEMENT :5 OUT-OF-SERVICE SEPTIC SYSTEM 7 DESTRUCTION <br /> r INSTALLATION WILL SERVE: ❑ !RESMENCE ❑ COMMERCIAL ❑ OTHER <br /> l NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS' NUMBER OF EMPLOYEES: I <br /> ❑ SEPTICTANK TYPEIMFG CAPACITY _,____ gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gel #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL R FOLItNDATION _ R PROPERTYLINE It <br /> ❑ LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LJ LEACHING CHAMBERS OF LINES LENGTH OF LINES _ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION-ft PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION R PROPERTY UNE R <br /> ❑ MOUNDED WIDTH __R LENGTH R DEPTH (I <br /> DISTANCETO NEAREST WELL R FOUNDATION R PROPERTY LINE ft <br /> ❑ SUMPS WIDTH R LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY LINE It <br /> ❑ DISPOSAL PONDS WIDTH _it LENGTH ft DEPTH R <br /> DISTANCE TO NEAREST WELL__ R FOUNDATION R PROPERTYUNE ft <br /> ❑ SEEPAGE PITS NUMaFR WIDTH _R DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MMUSOM 48 CEREOLUREDF0 INSPECTIONS-PLF-4SE CALL tag)953-769 <br /> SIGNED lL TITLE STAFF SCIENTIST DATE 10-18-18 <br /> H I - <br /> ..:1� <br /> PP aN <br /> E <br /> Application Accepted BY—' w t c ( Area Employee ID# __-- <br /> Final Inspection By_ Date 11 SP ALPERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: PINSump Soil Character: <br /> COMMENTS <br /> -- MENT <br /> PE SC Received /Check Amount D te -PermiU Invoice# I PertnitlD>RE EIVED <br /> Code INFO `—Cgsh Remitted Service Re ues#//-- _ <br /> 1- OCT19 2018 <br /> 42-07 ONSITE WASTEWATER TRTMNTSYSIIVIN COUNTY <br /> 4114179 NMENTAL <br /> HEALTH DEPARTMENT <br />