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I �WA3TEWATE'RI'REATiMENTSYSrEMPfAMIT <br />Co(:NT <br />FL , j209) <br />Hf.Al.rH DEP4ATMI`,'l`T 304 F' WFAIA AVI. 3 - STCKATON CA 95202 <br />NON-REFUNDAM <br />J;ML (1#9 SSUED <br />Y953-7697 !pk I Nsfvfl IONS ES I YEAR FROM IDATE K <br />P <br />. .......... APNZ244-5��-: YT_L A*CCLS1"­A <br />0", EX ADOREL�S '4!� A3/t- CITY1STATfJZI'64Z/— <br />CONMACTOK 13 r- >, PHONE <br />CONTRACTOR ADDIM"LA <br />LWILSSE �2 U C-36 MIER Numsia YXI'MATION D -TE, <br />WATER T.SLE DEMI it (;f,OCRAMWAIAMFOAMATIONI OwMiastn X,_ Y, <br />FERC TESTS) MlMmo­ LAND USN APfl.j,.ATK-;S <br />TYPE (W WGRK: N't-l'sr"LLATIO, 0 REPAI)VAMrION. U <br />INSTALLATION WILL SERVE: w-struoEsci COMMERCIAL <br />Nvm&wElwt OUPUVINW, UNITS: Numxwx or NUMWA OF EMPLDMC. <br />,IA— SEPTIC TANK TYPUMFG, ;APAMIY co'll'ANTMfN'TS w�Z <br />-'� 'o PI qor <br />CREASE TRAP CAPArlrY PI <br />Cl PKGTXPLANT WELL (I fouw)ATKYN P PRoffRTY LINE X0 t) f, <br />U LIFTSTATION SIZF.-- TvrxOPPcm.r Q SAND OIL SEPARAI OR (t'4CLON" SYSTEM) <br />LEACH LINES 0 LEACHING CHAMBERS of o? UNESUNCM of LiNft ft <br />D14TASCE TO SEARILSr WELL It I'M'N0ATKW ft nc-amw— Zoor It <br />FILTER SCI) w1ort, It LFWOTH ft Lvrmnl a <br />DmTANctTo NrAgm WELL ft mjmoATK-A­­ Pkw"ATY It. <br />WwlIj (I Lfiw'-rN <br />DirlAmck To NEAREST WELL It PROPERTY It <br />SUMPS WIvT" ft A <br />DISTANCE TD NIAXES r WELL ft UMNOATION_ it PAMNTY t IWF It <br />DISPOSAL KINDS WHYM ft LZVCTIi It DEPTH <br />DISTANCE TO NLAUEST wEll PROMRTY I'fNf. ft <br />---- I f9UPDATION <br />,,,,SEEPAGE ?ITS Wtwm f4 Ugn'l <br />.., DISTANCE' TO N'fAkM WELL, 'A f-APIOATON--740'2—ft -, poo—Ty <br />I NXIlf',11Y CERTIPV TWAT I ".Vt PREPAXFA3 rJOSAPTLAC&TfaN ANn THE WOW( WILL BE 11ONr IN ACCORDANCE WITH SAN J0AlZL;1N C004TV G'ADINA'lcm <br />STATE LAWS AND ACLES AND kt(AiLATIONS OF SAN JOAQUIN C13UNTY, <br />MIN*UM 24 NOVA ADV NCE RFjjCIRfD FOR M PLEASE CALL 2m) "3-7697 <br />SIGNED loto� TITLE DATE A0 <br />Applitation AttWV.YQ <br />Mow Ibipto <br />Ckamcter *twa,De <br />COMMENTS <br />X11 <br />Date <br />e <br />cn7 <br />e <br />PU 9MLY �11 <br />Z14 0 141 <br />0 SP IAL PERMIT Approved by 17 <br />P10SUVIV S" Ciltr"AtrA - — --------- <br />Woke If i P*rrm ID* <br />4.101-ooi <br />11'662 ONSITE WA.lM*.WATFX PERM:T <br />i PF <br />li <br />r -s <br />h <br />ry <br />WMM <br />rMw <br />