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0 <br />1 <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-KEFUNDABLE YERMII <br />JOB ADDRESS 24322 Hansen rd <br />903-/09/ FOR INSPECTIONS <br />CITY21P Tracy <br />CROSS STREET —T' I O O S— APN 20940009 PARCEL SIZE <br />OWNER NAME Prologis LP PHONE 5106614032 <br />OWNER ADDRESS 1800 wazee st suite 500 CITYISTATE/ZIP Denver CO 80202 <br />CONTRACTOR W.C. Maloney, Inc. PHONE 209-244-7090 <br />CONTRACTOR ADDRESS Po Box 30326 <br />CITY/STATE/ZIP Stockton Ca 95213 <br />LICENSE 71�- C-42 1-1 'C-36 OTHER C-21, A NUMBER 718243 EXPIRATION DATE 1-31-22 <br />WATER TABLE DEPTH: <br />PERC TEST # <br />TYPE OF WORK: <br />fl GEOGRAPHICAL INFORMATION: Coordinates X Y <br />I BUILDING PERMIT # LAND USE APPLICATION # <br />NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br />REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM X DESTRUCTION septic <br />INSTALLATION WILL SERVE: C RESIDENCE <br />❑ COMMERCIAL <br />J OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ <br />SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />❑ <br />GREASE TRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />LIFT STATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT <br />❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ <br />LEACH LINES <br />LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />FILTER BED <br />WIDTH ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />MOUNDED <br />WIDTH ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SUMPS <br />WIDTH ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />DISPOSAL PONDS WIDTH ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SEEPAGE PITS <br />NUMBER WIDTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STAT -15 LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />=1 <br />a <br />COMMENTS STT&"ftuyg 6C1nG c�ler�o113he <br />PE I SC I ReceivedCheck#/ Amount. PermiU <br />.. .. _Date , Invoice # Permit ID# <br />��r.�rn�,�.��•rte-r:�E����rs.E,�Trlrti���.Tr.� <br />42-01 V 0,• 1 L --V 0 7 <br />4114118 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />