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SU0005730
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILD HARE
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2600 - Land Use Program
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PA-0500710
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SU0005730
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Entry Properties
Last modified
12/27/2019 8:36:33 AM
Creation date
12/27/2019 8:30:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005730
PE
2622
FACILITY_NAME
PA-0500710
STREET_NUMBER
25050
Direction
N
STREET_NAME
WILD HARE
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00310025
ENTERED_DATE
10/26/2005 12:00:00 AM
SITE_LOCATION
25050 N WILD HARE LN
RECEIVED_DATE
10/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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LIQUID WASTE PERMI' �, i-3 _ <br /> SAN JOA,,-LN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTA..r1EALTH DIVI <br /> 304 E.WEBER AVE.,3RD FLOOR,STOCKTON,CA 95202 (209)468-3420 �k i k_"i,_ <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 1 D SD IV. ��(tI C� YAP -Il DU`1J1' k l <br /> CITY/ZIP Cnl YrV Ih lo)\f PARCELSIZE/APN IQ160 v <br /> OWNER NAME ADDRESS f G(R� <br /> CITY/ZIP l HONE �� 733ZS3't 00 <br /> CONTRACTOR 1_l V ADDRESS �2^7 /1n <br /> CITY/ZIP PHONE ��L_ 570 / <br /> GEOGRAPHICAL INFORMATION: COO NTES: X Y TOWNSHIPRANGESECTIONq��//�� <br /> PERC TEST(S)'t"OW MANY APPLICATION#: p lq`_ O D_ r 000 rs <br /> TYPE OF SEPTIC WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑RESIDENCE ❑COMMERICIAL ❑OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: LAERTgop CHARACTER OF SOIL TO A DEPTH OF 3 FEET: PIT/SUMP SOIL CHARACTER: H <br /> ❑SEPTIC TANK/GREASE TRAP TYPE/MFG CAPACITY NUMBER OF COMPARTMENTS <br /> ❑PKG TREATMENT PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE j <br /> ❑LIFT STATION SIZE TYPE OF PUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑LEACHING LINE NUMBER&LENGTH OF LINES / INFILTRATOR CHAMBERS /\1 <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE v1' <br /> ❑FILTER BED WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION: PROPERTY LINE <br /> ❑MOUNDED WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNBAT7 PROPERTY LINE <br /> ❑SEEPAGE PITS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PRQPERTY LINE <br /> 11 SUMPS WIDTH LENGTH DEPTH \I <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑DISPOSAL PONDS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCE LAWS,AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> SIGNED: MTITLE:` Gh )1 DATE: -X'5)' <br /> TENTATIVE <br /> PARGI=L MAP •rl m►• • .nau+ln wt„ NOTES <br /> YW/ltu�"F : <br /> 1 <br /> . ..........+..nu 5 <br /> / <br /> ..............................................�..�..1................;...................... .. .............. <br /> r � <br /> .1.1 , M r..�......_... X44 z <br /> ••� d„ <br /> . <br /> ...... • <br /> ►MGl., � ,I.,KRC.. <br /> ,1w..c1us• k � �� <br /> ,u Kms. 1 <br /> of <br /> ". mol. �•a - N <br /> rAun� / � UBIIC EA H R <br /> once •'�ccc( /a����"'#=-;, .�.... ENoN ioN <br /> xxe.1'•,OO' .... mho m m..mm mm mAm¢�.rm <br /> 1 <br /> VOR DEPARTMEN USE ONLY 1`,� <br /> APPLICATION ACCEPTED BY: /� DATE: V <br /> ) <br /> TANK,PIT,OR SUMP INSPECTED BY: DATE:_ ` / <br /> T <br /> FINAL INSPECTION <br /> BY: '�� 1��' e�-r •�- + 9 <br /> CO71 Lf <br /> MMENTS:`'E/ (.0 '� � AYCQ.L91 <br /> G� <br /> PE CODE SC AMOUNT tHECK#/ RECEIVED BY DATE PERMIT/SERVICE REQUEST N SEPTIC ID# <br /> ��D/Yty INFO REMITTED <br /> 13z3 7 o0 3 4 4.2 <br /> S6 ! 2. Lo ST l ap(,p zChc'*a6r--0'1408'3 3s� <br /> 'Z or4s <br /> / tl1o,l<d,,.�(J• �� / ld 3 5r0� t Q•S_' <br /> ii/' e5...-�/r I•.1�. lT��L�L�'n,iJ.� n/ri.� A < f /�- <br />
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