Laserfiche WebLink
LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> 304 E.WEBER AVE 3-FLOOR.STOCKTON,CA 93202(209)468-3420 <br /> ((JJ NOIY - ABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUEDi <br /> JOB ADORESS �'1 o S GGr✓If�li���'� /Jy APN o-7 3•�a- C1 PARCELSIZE: <br /> CITYIZW..,-_SC.7bf1_ �.d BUILDING PERMIT Y_C�,Jl <br /> OWNER NAME_ G r f ADDRESS S"--e- <br /> C17Y/2sP�,$C dtl� Gly.}-__ PHONE NUMBER <br /> fCONTRACTOR �L jLP. 'L'w2`-.,r ADDRESS I YG E✓.S CS <br /> CITYfIIP PY1 S,(►. -GG_, C/� _ PHONE NUMRF.R <br /> GEOGRAPHICAL INFORMATION:COORDINATE'S:X V TOWNSHIP RANGE SECTION <br /> TYPPEOFSEPTICW'ORK: INST LLATIONWILL SERVE: NUMBER OF LIVING UNITS: <br /> tr NEW INSTALLATION 7SIUENCE NUMREROFBEDROOMS: J <br /> ❑ REPAIWADOITION ❑ COMMERCIAL <br /> NUMBER OF EMPLOYEES: <br /> ChOESTRUC770N ❑ OTHER _ <br /> O ENOINEEREWALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 31: i`kN.6-- PIT/SUMP SOIL CHARACTER: -scAd. WATER TABLE DEPTH: <br /> ❑�PERC.TEST(S) HOW MANY APPLICATION# ^ <br /> P S.fc TANK TYPE/MFG—_.P4-L- CAPACITY j a o _ it OF COMPARTMENTS st <br /> ❑ GREASETRAP TYPFJMFG CAPACITY __ 0OFCOMPARTMENTS <br /> ❑ PKCTX PLANT DISTANCE TO NEAREST: WELLJ&Q� FOUNDATION,_!yr)_-, PROPERTY LINE_ <br /> ❑ LILIs7STATION SIZE- TYPe OF Pr,MP SAND OIL SEPARATOR(ENCLOSED SYSTEM)_ <br /> 0 LEACH LINE #OF LINES: 2 LENGTH OF LINES: It{Z DIRIANCEmNE FR T: WELL�I POCNDATION tit PROPERTY LINE=t- <br /> lNFL1TRAT'OR CHAMBERS: <br /> 1 <br /> ❑ PILTER BED WIDTH LENGTH DEPTH gRlAnLTesuneARe T: WILL FO INDATION PROPERTY LINE .� <br /> ❑ MOUNDED WIDTH LENGTH DEPTH_- DMANCSTONEIRRST: WELL FOUNDATION PROPERTY LINE <br /> ❑ SUMPS WIDTH LENGTH DEPTH 0M.NC.E m....Lw. WELL FOUNDATION PROPERTY LINE <br /> ❑�,/DISPOSAL PONDS WIDTH LENGTH DEPTH DMANCEYONr•M. WELL FOUNDATION PROPERTYUNE ,y IA <br /> 1d SFFPACF.PITS E� DIAMEM� II(r DEPTH_ DMti NCETONCARL= WELL t FOUNDATION 3L71 PROPERTY LINE bS2 ,V <br /> I HERE"CLI TIFY THAT I HAVE PREPARED THIS APPLICATION ANOTHE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. \VVii <br /> MINIMV M 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)KB-3423 0 <br /> SIGNED:_ _TITLE:_ Cic3f►}�`+t jy!' DATE: f�i Del <br /> — <br /> if <br /> _ -j <br /> --- ... t .. . <br /> 16 <br /> �1 :f <br /> LA <br /> 4-4 <br /> j. <br /> j. r.. <br /> 1 <br /> �... <br /> t , <br /> .. __.. .... ....�..._�.. �t_ I <br /> 1 ' <br /> • I <br /> �ANUO/iUkiBNG <br /> I II a '444. _ <br /> DEPARTMENT USErOYL.Y 2 C}/ <br /> APPLICATION ACCEFSED Sy. V V�W'� _ _.__. D���AT E: +_�.�. AREA\!,,_'�. EMOPyL�OYEE IO%���D fGlpl • LOCATIUN <br /> INSPECTED .,,DATE: '�� ` PERMITFINA6✓F IESDATE�. all <br /> G7 <br /> PE CODE SC INFO AMOUNT .t'A H KECF.IVF.D DATE P INVOICE) $EPTK'IDA <br /> REMITTED SV <br /> 31e" -7 Si2�t�3o��9 <br /> REVISED A1541 <br />