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l APPLICATION FOR PCAMIT
<br /> SAN JOAQUIN LOCAL HEALTh DISTRICT
<br /> 16111 E. ;IAZELTON AVE,. STOCKTON, CA PAYMENT
<br /> 1dup!mme 12091 411Z 67411 RECEIVED
<br /> PERMIT EXPIRES t YEAR FROM DATE ISSUE 1989
<br /> UK) Ul�i�J3d�{� •" SAlll1;OAQU1.14 C ,,L t;TY
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<br /> _!,7(j7 Pacific Alt'..l.,
<br /> _ Ca
<br /> 2 114 H. Cill i luru i.. /',v l•. '
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<br /> _ IYI•L Of %V[II P(JMP NLW WILL 11 WELL I[I['LACLMINI it 111 NI ItUL IN di f II
<br /> PUMP;NSTALLATICH 11 4151 EM III PAIR II (MI(A 1"11 'V'. niull[iuri!lj; We11sl9)
<br /> 0,STANLt_IONEAREST: SEPTIC IANK — SEWER LLNEd �LI�-20�,1,_{L E.:•,1.�•�;SAL;LL._.._ blit ll• Ilyl -
<br /> FOUN"ATION ,�._.- .-. AGRICULTURE WELL - DIHIR WELI .. I'll t.yaih7 i'S
<br /> INTENDED USE
<br /> TYPE OF WELL_ PROW M A10A CON51 wit.f1ON SFtC)tWA NUNS -
<br /> I LJ Upon dmlmn l I MrnILLd UW.of Wpll LAC.VJIWl1 I D inch p,i ul Yluu Ca;.nf
<br /> f,Oun .1KIF'Iwato LI Gfrvd Pack I I Iricr T”o1 Crun r 1_ -'_. - _ ' _
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<br /> 1 PnW.0 r(I Qawr 11 Dear Doing,of C,"l S.dl J xVll_}j�,i.- irnu u.:;,....: •'.::r",
<br /> Apl.u..Dapil, i t Lr.turn S.A.cr 5u.1 hls!all.d by S „
<br /> 1.1 TYFr LI Pump k' -... _ Slit.Wod Ouna ....,._. v
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<br /> irutrl Uon va re+ra: Ruutlerlca, C0nww'c41-_ Other— ._ - OV
<br /> Number M bring units: of ttactoom: •� - 1 -_ .
<br /> "- Clutaclm of Lod to a dap[h of 7 foot: —_ ,�, Wilur lible
<br /> SEPTIC TANK Ci Typo/Mfg Capaul
<br /> PKC.,TIIEA"EMENT PLT.I.) MrdY>rf of
<br /> Dlstmwa Id rwnwllsl: Wru r '
<br /> ' - 4unddaon_^._..Pml,rnY two
<br /> LEACHING LINE C1 No.S Lrngth of loses
<br /> fRIE..REO l E DAgnca to ruu+esT: Won Famdilwn_T Prorr'dy Ono
<br /> SLEPAGE PITS I 1 Dupfh Sur -
<br /> SUMPS L 1 D,unc.a to rrrwot:. Woo Fo.Pjm,on. --Progeny Lu,r -
<br /> OISPOSAL PONDS I1
<br /> L nwuDY Crndy flul[hdva Mapdrad Ilan apphcatipn rnd time Rw wmk W,u Wt dome in stem:.rlea W,tfl S.n Jo.elui,.,pllly onta,inres.mala liwl,aryl -
<br /> . rus.s and wagulttions of[Tlu Sin Juaywn Luczl HaA[h D,L.t.et_ -
<br /> Norryt owYmf or ueanerld r rrt's I
<br /> SM syplatwa[rrtdwl IM fW'uvrul7:"f call+ly that N the paRcurtrancn of Ihu wull to,Wh,ch fnn pa+n.l Is,s;.urd.1 LIb11 na+- -
<br /> araPlcY my pwsan in aucn mdna ry to hoc,4no wb ecl to owkmrn L eonrpleat.bon Lrrw of CsiAOnw."Cunit.ctofs tlmuD to rub eontraelmU sylfmfum -
<br /> cendlrs the foHawirlp:"I C.ndy itN1 in 11w Penhxr'w xu of tfm wwk for retch tnn yunrot ra nruud,I"M.ngi.,y PrrweY r%,1!Lt 1..r Lnads cwlywrrsd
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<br /> Two: _ D.1u
<br /> FOR DEPARTMENT USE ONLY l��
<br /> AI,pLc.twn Aund
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<br /> Pd or Greue Inrprctial Ow" r +r •�___,Oats ��Finai Inspvcbun tlY ve;Yj.� Datk,::
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<br /> L I l:tk t&ILi:81 111" 5(a 3621 L7 M.,r•,rca a23 7104 [1 Trrcy E"3S&Vit, -
<br /> - A14.4cent•1141400 aft 400.3 la:EqY v.gmrntrl Haslth Pam.t/5arv,e.l 16Ol E.H...Iton AY..,P.Q.Boa 2W9,SEL.,CA "-Ot
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<br /> TION uffs
<br /> -BE
<br /> momDM To
<br /> 1TDITION
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