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SU0013012
EnvironmentalHealth
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2600 - Land Use Program
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SU0013012
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Entry Properties
Last modified
11/23/2020 2:06:10 PM
Creation date
2/4/2020 8:34:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013012
PE
2637
FACILITY_NAME
PA-2000007
STREET_NUMBER
12470
Direction
E
STREET_NAME
LOCKE
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237-
APN
05132012
ENTERED_DATE
2/3/2020 12:00:00 AM
SITE_LOCATION
12470 E LOCKE RD
RECEIVED_DATE
1/31/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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LIQUID WASTE PERMIT <br /> SAN 10 AQUIN Ct)(INIY PUBLIC HbAI.�H SIERVICFS ENVIRON'AtN rAL HEAIXII DIVISION 24 HIR N OTI I <br /> 304 E.WEBLiR AVE..?"D FUIJR.5I'OC'KTON,CA 95202 (209)46R-3420 R EQ U EST 0 <br /> V l '•RF 'NDF.R\11' .XPIRF:ti 11'EARFRUII SSUF.D F�{'� /�L_L <br /> 1'113AUDkESS ; _ /zy7Q _, __ �, INSPECT c <br /> CITYf/JP b T PARC.-F(.SI7.EJAPN 46-1 -�- <br /> OWNER NA NE,`�A L`-4-C,-_ _ADDRESS_. Lz V;Q�._f+�� 1YL C_��c <br /> ('ITYlZTP 2� PHOtiE .�y7�_�� -- �l/-7 <br /> IO.HTRACTGR /�� /��y�Z �_ �LS+r �^'�'llsk_ll�.� �- <br /> ` I��1Ii ADDRESS Z `_�_ <br /> cI1'Yr1IP—4&�� '9 �5�3 -- PHoNE— <br /> #s <br /> T s C OGRApHIL'11.IYft)R IA'nO:V: C'OU IAKDIS: X Y TOWNSHIPYWANGEM- ECCION�� <br /> PF.KC TF-SMS) ; ) HOW MANY APPLICATION r: ___ -- -__ _ <br /> TYPE OF SEPTIC.WORK: ❑ NEW INCTALLA110N ❑ REPAIR/ADDITiONRUCTION <br /> INSTALLATION WILL.SERVE: D RFS1DEN('£ ❑CVMMI-itICIAL eu, T _— <br /> NUMHF.R Of-LIVING UNITS--..__ NL!MBLiR OF HL•DROOMMS:_ _ -. NUNIHFR OF hMPI.OYFFS:._.._ <br /> CHARACTER CIF SOILTO A DEI'1'H OF)F'FFT:,: PIlISL!MP SOLI.CI(ARAC'TER -� WATER TABLE.DEPTH <br /> ❑SEPrIC TANKIGRE.ASE TRAP TYPEJMF'(3 CAPACITY——NUMBER OF COMPARTMENIS <br /> ❑PKG I REATMEn T PLANT DISTANCE:TO NEARES'r: WFLL--- (FOUNDATION_-_, _ PROKXTY LINE.- <br /> ❑UFT STATION SIZE 7Y PE OF Pt\iP -SAND 011,SEPARATOR(ENCLOSED SYSTE10) <br /> ❑LFAC'HING LINE= -VVhJnF.R&LENG111 OF I.I. ES-� J_ INFILTRATOR CHAMBERS -— <br /> DISrANCETONEAREST: WELL TOUNDATION - PROPERTY LINE--- <br /> 13 FILIER RED WLI)TH _ - __ LEN(i1'II. DEPTH <br /> DISTANCE TO NEAREST: WEU.- F0UNDA1'I0N:_ PROPr;R'Pv l INE' <br /> O MI)UNDFD WIDTH LFNGI'El DEPTH <br /> WSTANCL TONFAREST: WELL � FOUNDAT(ON ,-_ PROPL:R'll LINE <br /> - <br /> SEEPAGE PITS WID'T'H f.FNGIH _ F)EPI'H _ <br /> DrSTANC.'F.'FO NEAREST. WELL FOUNDATION PROPLRTY LINE <br /> d SGMPS WIDTH LING VH_ ---- - DEPTH � C <br /> DISTAN'Cf•f'O NF:ARE5'1': W'F.I_L. I Jl:V1)A'TiON__ _. -PROPER'1 Y LINE <br /> ❑DISPOSAL PONDS WIDTH - LENGTH DFFTI( <br /> DIS'T'ANCE TO NEAREST. WELL FOUNDATION PROPERTY LINE <br /> 1 HERESY CERTIFY TH I NAVE:PRF.PA ED 1'HLS P TION AND THE WOR!(WILL HE DUNE IN ACC;URDANCE WTC11 SAN JOAQUIN COUNTY <br /> ORDIAN�•rCE-5,ST,ATF.l AND RUL ' D .0 ' ..1 S OF SAN JOAQ!'TIN COC':1-I'V. <br /> -y, <br /> SI(;NFD:` _ <br /> -/ � DATE: <br /> ro <br /> -99 <br /> - <br /> -�- -�-- - �--;Je +- <br /> hAAF <br /> • I� ( I <br /> - ---IT <br /> —T <br /> ` rPAY 1117 <br /> r <br /> FOR hL•'YRR'rAtEAl'USE t)f� <br /> AYYI_I(:,t ffU!t AC'C F:F7Eb 8Y... _0.41L � <br /> "C.1Nk.Y(T,OR`iI/\ff':N.ti pEC-1'6I� <br /> U,\TF _ <br /> I MAI NgrFCTION DY. �- <br /> ICIAV <br /> C ►Ir <br /> PECODI'. S(' AMOUNTHt RECEIVED14Y I)AIY. YEkFrCI,SE:RVICt QULSi0 SbYSKID* <br /> ' <br /> INFO RtM1 I) .ASH _ <br /> � - <br /> 1 <br />
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