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I'I Public <br /> `CKOther n Delta Type of Grout Depth of Grout seal Type of Grouf <br /> I I Irrigation �Aprirox. Depth Eastern --� <br /> Surface Seal Installed by <br /> Repair Work Done U Type of Pump <br /> H,P. <br /> We11 Destruction ❑ Well Diameter Slate Work Done <br /> _ Sealing Materlal i Depth <br /> Depth Tiller Material i Depth { dC <br /> TYPE OF SEPTIC WORK: NEW INSTALLATION t I <br /> ._-__ RFPA18L4L1G1rYiYJ.i..rirrarwr r�- .r ----- --. - <br /> Installation will serve: Residence, F <br /> Number of living units: Nuri 11-3511210 178 78 1 <br /> Character of soil to a depth of 3 feet UPGRADIENT ENVIRONMENTAL CONSULTANTS <br /> SEPTIC TANK 0 Type/Mfj 4111 62ND ST <br /> PKG. TREATMENT PLT. [] SACRAMENTO, CA 9592$ O Z 1994 <br /> s <br /> Distance I f'pY TO THE to <br /> ORDER OF <br /> LEACHING LINE 0 No, b Lel -FILTER SED 0 Distance ILLARSSEEPAGE PITS I I Depth CameB��°fAmeric16) a zao, <br /> SUMPS L1 Distance t Cameros arKCAon 9ssa , .,plSP05AL PONDS ❑ MEMO H1 �11) G.L' Nrrulese�dce gul that I have prepared thisf: l2 10003 58I:0 78- 2 3 396trr0 11 24 3ua <br /> eguiations of the San JoaquinHorne owner or licensed agent's signatunsmplOy any person in such mariner as to L.e wt-e.uoiect 10 workman's compensation laws O!California." Contractor's ••a yannu a raaueq, I shall not <br /> certifies the following: "i certify that in the Performance of the work for which this permit is iuueal i shalt em !o hiring or subcontracting signature <br /> lion laws of CaVforniar,' P Y persons subject to workman's compensa- <br />