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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NON-KEFUNDABLE PERMIT (:ALL LUY Y53-155/ FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUEI <br />JOB ADDRESS I Arch rd CITY/ZIP Stockton <br />CROSS STREET Arch Rd ��J Q V -,i :, G; j� P APN / I / C� PARCEL SIZE nI^1 r <br />�`/ i <br />OWNER NAME IDI Logistics PHONE (760) 567-0266 <br />OWNER ADDRESS 840 Apollo St, Suite 343 CITY/STATE/ZIP EI Segundo, CA 90245 <br />CONTRACTOR W.C. Maloney, Inc. PHONE 209-244-7090 <br />CONTRACTOR ADDRESS PO Box 30326 <br />LICENSE <br />C-42 ❑CIC -36 OTHER C-21, A <br />CITY/STATE/ZIP Stockton Ca 95213 <br />NUMBER 718243 EXPIRATION DATE 1/31/22 <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br />PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM X DESTRUCTION Scptic t6jj <br />INSTALLATION WILL SERVE: I I RESIDENCE I COMMERCIAL ❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK <br />❑ GREASE TRAP <br />❑ LIFT STATION <br />TYPE/MFG <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP <br />CAPACITY <br />CAPACITY <br />ft FOUNDATION <br />❑ PKG TX PLANT <br />gal # OF COMPARTMENTS <br />gal # OF COMPARTMENTS <br />ft PROPERTY LINE ft <br />❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />❑ LEACHING CHAMBERS <br />Permit/ Invoice # Permit ID# <br />Service Request # <br />L4 <br /># of LINES <br />LENGTH OF LINES <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />❑ FILTER BED <br />WIDTH <br />ft <br />LENGTH <br />ft <br />DEPTH <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />❑ MOUNDED <br />WIDTH <br />ft <br />LENGTH <br />ft <br />DEPTH <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />❑ SUMPS <br />WIDTH <br />ft <br />LENGTH <br />ft <br />DEPTH <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />❑ DISPOSAL PONDS <br />WIDTH <br />ft <br />LENGTH <br />ft <br />DEPTH <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />❑ SEEPAGE PITS <br />NUMBER <br />WIDTH <br />ft DEPTH <br />DISTANCE TO NEAREST <br />WELL <br />ft <br />FOUNDATION <br />ft PROPERTY LINE <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE <br />WITH SAN JOAQUIN COUNTY ORDINANCES, <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />DEPARTMENT U E ONLY ,I <br />Application Accepted By ��� L Date 0 / 1 / Area s f'C k Employee ID# <br />Final Inspection By . Date ` Z _ SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS A6ei;ICI, r��C� }<•►I1< <br />PE SC Received <br />Code INFO B <br />Check#/ Amount Date <br />Ca h Remitted <br />Permit/ Invoice # Permit ID# <br />Service Request # <br />L4 <br />42-01 <br />4//14/14/18 <br />13,( 6Y736_3 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />