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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TOKAY COLONY
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10900
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1300 - Housing Abatement Program
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PR0527067
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COMPLIANCE INFO
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Last modified
7/7/2021 9:28:25 AM
Creation date
8/25/2020 4:59:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1300 - Housing Abatement Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0527067
PE
1327
FACILITY_ID
FA0018352
FACILITY_NAME
VALDEZ, JOSEPH M
STREET_NUMBER
10900
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06319064
CURRENT_STATUS
02
SITE_LOCATION
10900 E TOKAY COLONY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ssangalang
Tags
1300-Public
Description:
Access to EHD-Public for 1300 Program Code - CDD
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FOR OFFICE USE, .. <br /> APPLICATION FOR SANITATION4"IT <br /> 7 ,. <br /> . (Complete in Triplicate) <br /> Permit Nc?.l: 5Z. <br /> ...........•._....•.. ........ This Permit Expires 1 Year From Date Issued Date Issued?. <br /> .............••--....... <br /> Application Is hereby made to the San Joaquin Local Health District for a permit to constrict and Install the work herein <br /> described. This application Is ma/de In compliance with County Ordinance No. ,{549 and existing Rules and Regutationst , <br /> JOJOBADDRESS/LOCATION ....../�. ••••*.7 .4jin/Q• .�1'�►a` /L'QC <br /> ENSUS TRACT .......................... <br /> Owner's Name ..... .>YL11.t...... ., .. ....Phone ....:.:............................ <br /> Address .... .�4 d.. \l ..,/ V �._.. City .lG .. ..... . ....... <br /> .. {... . <br /> Contractor's Name ..: . . .... ,, .. .... - ---- Phone .ee v <br /> Z.14 <br /> Installation will serve: Residence Apartment House Commercial❑Trallw Court 0 <br /> Motel❑Other <br /> Number of living units:..._/.... Number of ms .. ...Garbage)Grfadeer .. Lot Size ......7.�..4J = •. <br /> Water Supply, Public System and name .. � ... _.......�N�`'SSS...._-.....................:....:...............Privab <br /> Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ Sandy loam 0 day loom ❑ <br /> Hardpan ' Adobe❑ Fill M6terlol ............If yes,type............... ............ <br /> (Plot plan, showing size of lot, location of system In rotation to wells, buildings, etc. must be placed an reverse side; <br /> NEW INSTALLATiONs (No septic tank or seepage pit permitted pyblic :ewer Is available within 200 feet,) <br /> .�f% 6 ' <br /> PACKAGE TREATMENT ( ] SEPTIC TANK� � ��� ze..................................... <br /> Liquid Depth .:....................... <br /> Capacity .................... Type .................... Material...................... No. Compartments ..................... <br /> I <br /> Distance to nearest: Well ....................................Foundation ...................... Prop.-Line .......... ...... <br /> LEACHING LINE No. of Lines ..... . ............ Length r-n-07. <br /> e.... Q........... Tota! length .�..�'............. <br /> 71 <br /> 'D' Box .:z�i'-- Type Filter MaterialDepth Filter Material T.. .......................... <br /> :�. Distance to near@stt Well .. ..�....... . Foundation .1 ..�........... Property Line .... 1..�..... <br /> SEEPAGE PIT Depth C:'. ._ Diameter ....... Number ......./................. Rock Filled Yep No [ <br /> Water Table Depth ........1 ,; ..........................Rock Size ... ....................... <br /> d <br /> Distance to nearest: Well / 0............................Foundation ..lQ.......... Prop. tine ........._....... <br /> � <br /> REPAiR/ADDITION(Prev. Sanitation Permit# 7g�Y.:1 M`l`j. 7-• :7./... Date .......................... ........: 1 <br /> Septic Tank (Specify Requirements) .............. ~53............... ........... ... . . ..... <br /> Disposal Field (Specify Requirements) M*�G � •• .... ... ............. <br /> ........................................•••......................ti ... J/ ...................._............................._........_.....G <br /> ...................................................•-........................................................................................... <br /> (Draw existing and required addition on reverse side) <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquii <br /> County Ordinances, State Laws, and Rules and Regulations of the San Joaquin Local Health District. Home owner or licen <br /> sed agents signature certifies the following: <br /> "I certify that in the peiforma`nce of the work for which this permit Is issued, I shall not employ any person In such manna <br /> as to become subject to Workman's Compensation laws of California.." ,LARENCE'S SEPTIC & SEWER SERVICE <br /> Signed .. .... .................... Owner 263 So. Orot Stockton, Calif. 105205 <br /> _h. 463-3209 Contractor's Lic,. 26717� <br /> 13y <br /> . . ..... ..... ... .............. •• .......... <br /> :. Title <br /> Ilf other than own <br /> F R D MEN #USEkOLY <br /> APPLICATION ACCEPTED B . ..... . . ..... .... ..C. �.... DATE .... ...........BUILDING PERMIT ISSUED .... .. ........................DATE ..............................---........ <br /> ADDITIONAL COMMENTS ................................ .... ................................................... <br /> ...............•---.....------.....:.............----..............._.................---..............---........_.................................................... <br /> ........................................................ .......................................I..........�/......�.... i................... <br /> ...................................... �..... . ---. .... ......................--_.... . 1/-. <br /> .n... ............Final Ins ection b ..Date . v. ..-.�...................... <br /> Edi 13 24 1-68 Rev. 5M SA JOAQUiN LOCAL HEALTH DISTRICT 8/7h 3M <br />
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