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SU0006527 SSCRPT
Environmental Health - Public
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SU0006527 SSCRPT
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Last modified
5/7/2020 11:32:29 AM
Creation date
9/4/2019 6:43:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006527
PE
2622
FACILITY_NAME
PA-0700162
STREET_NUMBER
6902
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
MANTECA
APN
20605003
ENTERED_DATE
4/18/2007 12:00:00 AM
SITE_LOCATION
6902 E FRENCH CAMP RD
RECEIVED_DATE
4/16/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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FilePath
\MIGRATIONS\F\FRENCH CAMP\6902\PA-0700162\SU0006527\SSC RPT.PDF
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EHD - Public
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ASS, SAN <br /> FOR WELLIPUMP PERMIT <br /> SAN JOADUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P,O,BOX 588,SO4 EAST WEBER AVENUE,STOCKTON.CA 95201 788 <br /> 12091 4683420 <br /> ASS, NONREFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> SSSS,EIS M TNIR&IIEI <br /> ARSDORYNFN HE HERE BY MADE TO THE SAN MAWIN COUNFY FOR A PFW.11 TO CONSTRUCT M'DIOR FS,.THE YpN,D,.O.THE APPLICATION 16 MADE IN C..IIANCE N <br /> JOAQUIN CODIN Y pNELOAAEM TME,CH.VFER 81115.3 MN THE STMOAWS Of SAN JOAOUIN CO <br /> UN <br /> T <br /> YNBIIC HEALTH BERVICE6.EN..RHAFMAL HEALTH OIVIRSON. J� <br /> i JOB MORER6Nn AJYN Cm ///N'! • f PARCEL B6DARIF �F�Q'YY�C�R <br /> OKIIERY XNfE Y ✓R AOOREBB Lf /Ar O,A ��,p/�.,RIONE ,6$2 <br /> rnx�P 0. f i1�IY ADWEu//moi ��� kY///�!/v ucFZE'➢�G�RaI. <br /> SHE DONTRAciun ARNAS. UCS PHONE F_ <br /> TYPE OFNELLMIMP.(.CLAW VAL ❑HFJEAtEMENT W➢L 13 NOMDS...WELL F C OTHER <br /> ❑E.Ef m. 13W91 YYRfFM PRAM ❑CMSKONNEET RPAM ❑VAPOIIE%TR/,CTIONVIMII� <br /> CN 13 ANN, X.P. WPM WMP RET----FT. FNTWAYEADDft <br /> RYR Of FUNDII <br /> ❑OWLFRRVICE W6l ❑ObgIY61CAL WELLI ❑ POS-SHEAR, <br /> ❑OE6TRVCTpH' <br /> INTENpEO V6FTYPE OF wm CONSTAMT11Ox EPECIMATIONS <br /> ❑INW6TMAL ❑OPEN AI DIA.OF WELL EXCAVATION MA.OF CONWROR CASS. <br /> ❑WMESTa/RVVATE C'�OMVII PA2K/B6E TYPE OF CAYNA/SYEER MA OF W4LL CAWNO— /'� <br /> ❑wELlCnnuxlCmAL ❑MWEN DE9lX OF OPOW SEA — 6PECNIGTax <br /> �,IPW6ATW NIAD COTNER �/�7 ONODT HEAL ARD. <br /> eY ORONT <br /> ERANO xAME <br /> ❑NDNIroRWE amply !IMI dl/ obvTvEA-.PbR$vr 13. wxcRTE FTnErtu av onuER:�vr$a. <br /> APNIOx.DEPTH Lam' / / // LDCAND CFRBr..b.ATE"S PIPE <br /> PROPOSED CONSTRUCTIONSNSWND METHOD: N D.POTAIIY MR POTARI AVOER CAME OTHER <br /> I HEREEY CERTIFY THAT I HAYS PREP PED THIS AF ATFDN AND THAT THE YJOW WALL EE DONE IN ACCORDANMN,CE WTSJDADDH,COIIMY OppWANtf6.STATE UW 6.AND M <br /> ROVLATMNR OF THE SAN JOAOUIN COUNTY.NOME O <br /> WNER OR MENSEO AOEM'B SIGNATURE CERIFgH THE F0.1 9...,THAT W FFMNC <br /> THE fORNAE W THE R9R(W <br /> FEPMRIBI.8 ..IWALLbTEMROVPE OWWECTTOWORNMAN'BCOMPENSATIONIAWROFCAUFOWIM:WWW OR'HHIRWAORWMCDNTRACTINOWBNATIMEE <br /> THE FOLLOWAND: '1 CERA THAT IN THE PEROR.IANCf OF THE WORL FOR WHICH THIS NTMI IS IBHIRE,I MIML EAEIOY PERSONS IDARCT TO YNENS NY OOEV AA— <br /> C.WFORMA' THIS ANSI ASSAY OM/}S/AAJNE.IN ADVANCE FEE,ALLRIE <br /> ON I"ACTIONS AT 1.1 MBYEE.COMRETECARS.AT LOWER Mf.E PRODARS. <br /> SIStiA I Ic 2Enl.G ., PID. <br /> AOT MAN"S"m Bu1.I bl._ _ <br /> 1.NAMES OF EIIIFETB OR NO.-NEAREST TO OR HOUNDING THE AORRY. 6. LOCATION OF WHAT SEWAGE DISPOSAL SYSTEM OR pabl <br /> • E.OVTUR OF THE FMRMY,GIDNO DIMENfiaNR AND NORHOIRCTION. EXPANSION Of SEWAGE MSWSM SYSTEMH. <br /> e DIMENSIONEDI OD AND LOCATION OF ALL EXISTING AND RW RDSEO 6. LOCATION OF WELLS WITHIN R INS OF ONE HUNDRED FIFTY <br /> rtRIFLTURB.INCLUMND COVERED ARFK SUCH A6 PATIOS,DWMAY,AND WAII(6. ON THE PROPERTY OR J.DS E RaRRTY. <br /> F <br /> J VV — <br /> .T- �3 _ <br /> c <br /> MAR 1 936 y <br /> _l fALIE5 EN77Ci V',.F:� <br /> 19fF cN iFCNMt NigL r+EFLir'Oi; <br /> R. fNL6,CY t9� Wd <br /> DEPMTMWT WE ONLYBl� <br /> Appllulbn Aecyltl BY ` D.I. <br /> D,eu Imomlbn Y DN.3 <br /> lo-I L„Prlim EY r • I D <br /> Ds11uUw InPrIM BY �� <br /> DRR�„N fA�0i0 a4,u �d� <br /> WTI..Oxtr: MDA MCF <br /> ODA MAOIMf nPETTSO CMC NM DVLOA DATIE SENATE 9T NVABP WVOaE <br /> OP7G <br />
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