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SR0083718
EnvironmentalHealth
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ELM
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083718
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Last modified
12/22/2021 1:37:05 PM
Creation date
12/22/2021 1:29:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083718
PE
4215
FACILITY_NAME
7350 S ELM ST
STREET_NUMBER
7350
Direction
S
STREET_NAME
ELM
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231
APN
19311013
ENTERED_DATE
5/17/2021 12:00:00 AM
SITE_LOCATION
7350 S ELM ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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JOB ADDRESS ,<;.;D • r; )01 angzip French Camp, CA 95231 <br />OWNER NAME Manteca Unified School District <br />CROSS STREET E" St'ee' ApN 193-110-13J-14/17MB, SR0083127 PARCEL SIZE LI Pa (4th <br />PHONE 209425'3200 <br />OWNER ADDRESS 2271 Louise Ave. CITY/STATE/ZIP Manteca, CA 95336 <br />CONTRACTOR FM' C"ructk" <br />CONTRACTOR ADDRESS 1115E. Lockelord Street <br />LICENSE C-42 C-36 OTHER BOB <br />PHONE 2" "1 3738 <br />CITY/STATE/ZIP Led', GA 95240 <br />EXPIRATION DATE 114012021 NUMBER 293306 <br />PIN <br />Et <br />BOLT) DEPARTMENT <br /> tYrVIENT <br /> RECEIVED <br />A 1 7 2021 <br /> Or4QUIN COUNTY <br /> fRONMENTAL <br />42-01 <br />4/14/18 64,4 12S-11.51:)/ ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205- (209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />MINIMUM 48 4V.ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 <br />SIGNED ••1.— TITLE h•O'et..4 iviarlaswr DATE <br />/[ <br />PE <br />Code <br />SC <br />INFO <br />Received titilitk. <br />Cat5 <br />Amount <br />Remitted Date Permit/ <br />Se ice Request # Invoice # Permit ID# <br />Llais' 9S- / <br />lip ii <br />S- ? 4"1-) S117124 ‘g• 03i0—"q1 V <br />DEPARTME7U E ONLY <br />Application Accepted B Date Area / Employee ID# As <br />Final Inspection By Date 7' ?si_i I 01 SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Son Character: <br />COMMENTS D;s1f ii..0-0.3n 'c) t 'be repieiced by rocont-cninte hole , te Enitheer aesished <br />Sql "' s'isktv, ketier 0/6,-f ed 'notch IC a3G2 <br />TYPE OF WORK: NEW INSTALLATION <br /> <br />REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br /> <br />X REPLACEMENT r" 000 0reO 5/3O <br />OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION v".'"'"°' T8" <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: <br />OTHER 06500' <br />NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: tqL1 ..tUC7/e;1 <br />RESIDENCE X COMMERCIAL <br />ft <br /> <br />GEOGRAPHICAL INFORMATION: Coordinates X 37.086133 y -121.268470 WATER TABLE DEPTH: 21 <br />PERC TEST BUILDING PERMIT # <br /> <br />LAND USE APPLICATION #
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