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SU0009811 SSNL
Environmental Health - Public
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SU0009811 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:15 AM
Creation date
9/4/2019 10:16:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009811
PE
2631
FACILITY_NAME
PA-1300183
STREET_NUMBER
26550
Direction
S
STREET_NAME
BANTA
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
25215012
ENTERED_DATE
11/4/2013 12:00:00 AM
SITE_LOCATION
26550 S BANTA RD
RECEIVED_DATE
11/4/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BANTA\26550\PA-1300183\SU0009811\NL STDY.PDF
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EHD - Public
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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAM JOAOUIN COLNTY ENVIRONMENTAL HEALTH DEPARTMENT SOOE MMN STREET-STOCKTON CA 95RD2-(3M)NLSIYII <br /> _ NON-REFUNDABLE PE CA 209 893.76R7 FOX IN$PL .ONL EXPIRES 9 YEAR FROM DATE ISSUED <br /> Joe Appre!ss e C P u C <br /> CROss S7ReeT / APN ASL-(ISu—/Z PARCEL SUZ <br /> QJ 00 <br /> OMHER NAME, (f L� PIK11E �6J A <br /> O...AOOPESS // Ef CITY/$TATFIdP r7kill., r4 <br /> COMIAACTDR G%�2yLA-L. pNDME 2 61 s <br /> CONTRACTION <br /> ADDRESS i=JS I�4l q �F lL�,y CITWS mP j, cK-M7T Cl7R[.r'•iadFly <br /> LICENSE >Git •JCat On(1a/_'-1// NUMaERRM�O WV' ExnmmmnATE� aIY`� 4135/ <br /> WATER TABLE DEFTM: ILLY LT R GEOGRAPHICAL INFORMAMW c.minRb6 x 'IN.3//�6 Y S - "N' <br /> ¢ PERC TEST 93 BUILNNGPERMR# LALBDusEAPpucAnom Emm,31> <br /> T/PE OF WORK: -- NEw..LATMNI REPAIWADdTION C ENONEERD HIED IALTERNATNE <br /> REPLACEMENT DeSTRUCTMN <br /> INSTALLATION WILL SERVE: _l RF510ENce K COMMERCIAL OMER <br /> I NVMBER OF LMNO UNn, NUMBER OF BEIX .S: NUMBER OF EM0._OYEES: <br /> O SEPTIC TANK TYv,I G CAPACITY gW #a CCYPARTMEWS <br /> ❑ GREASETRAP TYPFJMFG CAPACITY 9.1 #OFCOMPMrMEMS <br /> DISTANCE TO NEANeST: WELL X FOUNDATION R PROPEFTYLINE ft <br /> ❑ LIFTSTATION SIffi TYPE OF PUMP O PKG Tx PLANT D SANDORSEPARATOR(ENCLOSEDSYSTEM) <br /> ❑ LEACH LINES ! LEACHINOCHAMSERS ROFLNES LENGTXLFLMEs_ ft <br /> DISTANOE TO NEAREST WELLIt FWFRMTCN ft PROP:RTYLINE ft <br /> O FILTER BED WDTH R LENGTH R DEPTH_ R <br /> DISTANCE TO NEAREST N'F1t R FouNCATION R pROIERTYLME_ _. ft <br /> ❑ MOUNDED ~R ft LENGTH fl DEPT_ O <br /> DISTANCE TO NEAREST WELL ft FOUNDATION fl P ENTYLWE_ .. ft <br /> ❑ SUMPS WRITTI It LENGTH R DEPTH_ _ a <br /> DOTANCEMNEAREST WELL R FOUNDATION R PRCPEfm LME _K <br /> ❑ DISPOSAL PDNDS WmTP ft LENGTH R DEPTH_ It <br /> CIS ANCE TO NEAREST WELL ft FOUNDATION R RiOPER UNE ft <br /> ❑ SEEPAGE PITS NUMaEP W ,PI It DEPT ft <br /> DISTANCE TO NEAREST WELL ft FWMAT(XI R PROPERTYUNE R <br /> I HERESY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORN WLL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY DISCHARGES, <br /> STATE LAWS AND RULES AM REGUTATgIG OF SAN JOAIXRN COUNTY. <br /> i•.NI DUR ADVAIME NOTICE REOUIRFO FOR MSPECIJOHN PLEASE CALL 4M9)9S17C'; <br /> SIGNED TITLE GA4i�YiJi` DATE <br /> NT <br /> ED <br /> 2014 <br /> ccuoi y <br /> ENru <br /> TMENT <br /> I <br /> FClftnaarixlmtepraocftb$onVB•�_ _ S Z ARR @Emcloe <br /> DAN, <br /> Aplication ACcept SPECAL PERMR-Apea bI y <br /> N FR mn <br /> F�J <br /> / <br /> COM ENTS <br /> PE SC ft IWNS CH AmountPM.v <br /> Coxa Iwo B R 1♦wIfty I OiM SRFNCC RE ti IRVdCRi PNTII IDR <br /> J <br /> AZ-0t ONSITE WASTEWATER TRTMNT,SYSTEM PERMIT <br /> IDMN] <br />
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