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I REREBY CERTIFY THAT I RAVE, PREPARED T HU APPLICATION AND TRC WORK W" Rt V(1frpR W ACLYIRDANCT WiTI1 SAN XO,Qi.1N COUNTY ORDINANCES. !RATE LAWS <br />AND MILO AND RECULATKMOPS" JOAQUIN COUNTY, N <br />�,/. INIMi:M 2A HOURANCE "ICE ItF.t�J1H$D INSFEL'710P#S - P'LBASB CAFE (249) i67k3423 /' � V, <br />--y�,.��- r$LrC'� _--------_ITLE:.✓.tw,y DATE:// ""'/�."'"G^� 1 <br />SIGNED:T <br />DEPARTMENT <br />APPLICAT" ACCEPTED <br />LIQUID WASTE PERMIT/� <br />�<�-06cagis <br />SAN JOAWIN COUNTY tUJULiC WALMSERVl:ES 0WIRONaMENrAL HEALTH DIVISWN <br />ick f � <br />�r <br />.k%E. WEBER AVE I" FIZOR STOCXT NI. CA 93103 tV%4b1ft �F PT! ! C <br />ls <br />^�A".-REirUNUABI.L PERMIT EXPIRES f YEAR FROM BATE i8_4ii7/1,"�D <br />iyr <br />z 7 i �. T (7 0! <br />tAfiCEL 317E: <br />BVILDLNG et"yrr ar <br />�j <br />NA1NL____iC <br />Men iW7M$i:H �.. <br />ADWCIi.+(..G..-...r/ /''I tlryi <br />t:l i Y'ZIP <br />GEOGRAPHICAL INFORMATTON3 COORODIATES: x._,.,__ <br />TYPE Of SEPTIC WORK: <br />IftrALLAT Vl"SOMI NUMBER OFLIVINCVNIT$s <br />) , NEW INSTALLATION <br />'� RESMENCE <br />NUMBER OF BEDROOMS: <br />O REPAIRIADD1TION <br />QCOMMERCIAL <br />O D£STRLrTION <br />NUMBER OF EMPLOYFAM <br />ENGINEERED+ALTERNATI VE <br />- <br />CHARACTER OF SOIL TO OEM OF 31: <br />YiilBilMiStliC CEi:RA�7ER2 WATT R TAU& D W Mi - <br />J FERC Tm ts) HOW MANY <br />APPLICATION M <br />ST.PM TANK TYMMPCi. ci'I�/ <br />CAPACITY iG M OF COMPARTMENTS_ <br />J GREASE TRAP TYMMFQ <br />CAPACITY......__.._ P Of COMPARTMENTS <br />Ll txOTx K ANr WSTANCS TO NSAV=1 <br />WHLI EOS9+oAr PROPERTY LINA <br />C3 LIPTSTATION 5126 _ <br />TV" cw"o— $AND OIL SEPARATOR (04C X)MSYSTFAt) <br />t� OF LINES; .w� La4m OP LINES: f j <br />LEA" EINZ -.,2.. ...itSL DY4YANpeS"6 YlY YtRld� poem ATm W` QTY UNS� <br />l <br />J 1MFWTSATOR CHAMBERS: <br />s� FILTER RED woo Lvk= <br />mr mla Tomwdst: WELL_ Po1N&AT>Dfl fYtomm LIKE <br />fdOUNDED *wpl Low <br />DEP'1'N DR.TANCYTO wul KKR-DATREN p TV Lw— <br />Sumps WIOTR. uNm <br />am mrA*c%TO"NLAAw; waj TkIN PRtlf%Ckr U#a <br />DUPOSAL PON" WWM LENWW <br />00111 MiTANCtTO.NSAM AT: WELL p4l1MbA7"NlN YAGPEft V LIV$ <br />SE:{.pAGR"Ts 0 DA1i£TPA <br />00131 WYAAAMTOiVYrf STI Y/0L3`_ Y'Cti:NDA'lMN:PA0?kRTf tANF___ �j <br />I REREBY CERTIFY THAT I RAVE, PREPARED T HU APPLICATION AND TRC WORK W" Rt V(1frpR W ACLYIRDANCT WiTI1 SAN XO,Qi.1N COUNTY ORDINANCES. !RATE LAWS <br />AND MILO AND RECULATKMOPS" JOAQUIN COUNTY, N <br />�,/. INIMi:M 2A HOURANCE "ICE ItF.t�J1H$D INSFEL'710P#S - P'LBASB CAFE (249) i67k3423 /' � V, <br />--y�,.��- r$LrC'� _--------_ITLE:.✓.tw,y DATE:// ""'/�."'"G^� 1 <br />SIGNED:T <br />DEPARTMENT <br />APPLICAT" ACCEPTED <br />