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1 _ <br /> LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY I'IJJI.IC HEALTH 5F VICES ENVIRONMENTAL I IF.ALTH DTVISION <br /> 3 W I:.WEBER AVE 3-FLOOR,STOCKTON.CA 9520212N)4AR-7420 <br /> 1 <br /> �F -. Lup NON-REFUNDABLE PERMIT M:%APN <br /> I JOBADDRESS f:SA fRQM11A <br /> Tf„�titiV Ell PARCELSIZE: <br /> CITYfZIP,_ cstt�l/b BUILDING PFRMIT9��'''' 5 5i%!1 1 <br /> OWNER NAME <br /> y�E� �� �V4�N _ ADDRESS`=� F <br /> Cll'1'/7.IP- 1'1 �rL / my PHUNF <br /> CONTRACTOR_ -[[ ADDRESS <br /> CITVfZIP e, I G/ ? _ PHONE NIIMBF:R�� <br /> GF.OGRAPHICAI.I NFORMATION:COOROINATL.S_X_ __ _ .__.Y ... _ _-TOWNSHIP. SECTION <br /> TYPE OF SEPTIC WORK: 1 NSTALLATION WILL SERVE: NUMBER OI'LIVING UNITS: <br /> ❑ NF.W INSTALLATION W RESIDENCE NUMBEROFBEDROOMS: <br /> REPAIRIADDI'FION U COMMHRCFAL <br /> NUMBER OF EMPLOYEES: <br /> ❑ DESTRUCTION ❑ OTHER <br /> ❑ ENGINEERED/ALTERNATIVE <br /> CHARACTER OF SOIL'FO DEPTH OF 3': PITISUMP SOIL CHARACTER: WATER TABLE.DEPTH: <br /> ❑ PERCTEST151 IIOWMANY APPLICATION`A �7 <br /> ,JT SFF-IC TANK TYPFJMFG_-4Le CAPACITY C I,�, p OF COMPARTMENTS <br /> Cl GREASETRAP TYPPMFG CAPACITY 0 OF COMPARTMFNTS <br /> ❑ PKGTX PLANT DISTANCE TO NEAREST: WELL*- FOUNDATION PROPERTY LINE. <br /> ❑ LIFT STATION SIZE_ TYPEUFPUMr SAND OIL SEPARATOR i1=NCLOSF.D SYSTEM) <br /> Cf LEACH LINE qOF LINES: ` LENGTH OF LINES: VO 7 DI:-[AnCETONFANecT: WELL �"�~.COUNV AI'IONPROPERTY LINE�� <br /> LQ/]T IN FLITRATOR CfIAMBLRS', <br /> moi+ ❑ Fll.l'EBBED WIU1H LENGTH DEPTH WELL FOUNDATION PROPERTY LINE <br /> ^^[' Q MOUNDED WIU7H LENGTH DEPTH DIS[ANCE-EARFAT: WELL FOUNDATION— LINE <br /> W <br /> Q <br /> SUMPS WIDTH LENGTH DEPTH_ DISTANCETorvEAR- WELL FOl1NDATION PROPERTY LINE <br /> . 1 <br /> DISPOSAL.PONDS WIDTH LF_NUTII I31:1'TH_ DIS 1-TONFA-T: WLLL FOUNDATION P8OPFk1Y k.INE )� <br /> c , <br /> tiF;f:PA(:E PIES Ll .2 DIAMF:TFIE TI DEI'I l4 r D,.+FAk['ET6NLANCtiT: WLIA, �✓Q� FOUNDATION t1LI PR�IPFRTY LINE <br /> I HEREBY CFRT'IEX j DAT 111AVE PREPARED TEAS APPI.ICNl'ION AND TIIE WORK WILL BFI DONE LN ACL:ORDANCF.WITII SAN JOAQUIN COUNTY ORDIN'ANCE.S,STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS PLEA. CA l.{ 09{46A-3423 <br /> SIGNED: '+o^� TITLEF DATE: / /0 1 C^) <br /> M j _ <br /> W Lt <br /> W Nx'f <br /> 1 <br /> -r I I I <br /> 7 <br /> i <br /> I <br /> H8U11GA$ATE.MNI <br /> 1 � , <br /> { 1 <br /> I ; <br /> : <br /> I, <br /> ar <br /> CL j t� 1 (1`U ' j <br /> . 1 1 <br /> 1 <br /> vt1� ;Q U�� �' 7Irk <br /> 11W�)/s TME: USPI:/om Y <br /> AF'PI.ICATIONACCEP'ILDDY: 4N/VW"? <br /> _- _l N/ '/�7,DA TE. <br /> �/ I,VAkEA�P 'R� 'UI]1 H 1['I`^1/�iDCA'IION <br /> Dv INSPLCTF.D BY: -_- __ __DAFF 1PERMIT FINAh HIS IAIE <br /> lOR <br /> ' NTePEC <br /> COMMENTS <br /> PFCDE SCIO A11UUNT <br /> � <br /> I.11 UFF <br /> FILE <br />