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SAN JOAQUIN COUNTY PUBLIC N"V,TH SERVICES <br /> ENYIRONMI,NTAL REALTH VISION <br /> 445 N SAN JOAQUIN, PHONE MO9)488-3410 <br /> P O HOE 1009, STOCKTON, CA 95201 <br /> PERMIT EEPIRES 1 ,BAR PROP DATE 14gT ED <br /> (Completo Sn Triplicate) <br /> Appl.lestlm Is h.r.br sde to Sen :n.vuln county for • Permit to construct arid/of inatmu the work here:n described. "I. <br /> epp7.leAtle, le soul. :n coaylfance with Mn Joaquin Count, Ordinance No. 549 anti 1862 and the Rules aha MBulatlon. of Ren <br /> Jeequln Cour ey Public Health a...1'... <br /> Job Alleles. 2880 MA NCUSO RD. _ chw TRACY mt nl../Atre.Re <br /> Owwt'.N" __2PUf RFA] ESTATE. AddnM p.ja RnX A05 TRACYPtns R9A_AQAQ <br /> CocbaclW_ff&LKS 8R0S.. DR1LIAamet�.�i�@_Ei_LANDALE AVE.License No. 290813 Iawlw 545-1185 <br /> TYPE OF WELL/PUMP NEW WELL WE;I REPLACEMENT Il OESTRUCTKIN 0 Out of Nr. e. 11 j <br /> PUMP INSTALLATION LI SYSTEM REPAIR 0 OTHER O Nord Wring Wil h ; <br /> DISTANCE TO NEAPEST: SEPTIC TANK 100- SEWER LINES +nn, DISPOSAL FLO._ PROP. LINE <br /> FOUNDATION _ AGRICULTURE WELL _ OTHER WELL_ PITS/SUMPS rqr <br /> INTENDED USE TYPE OF WELL PACdLIM IAEA CONSTRUCTION U►ECIFICATIONS '. .E <br /> Ti.IMYIp1e, CJ Oven 9e11o'n ❑Msnlete 5u. .4 WNI Ercew.tbn _ Du.W W.B CWrtp 6 <br /> ,YKDornsnk/Private far O' l Pock XX Tracy rypa of Ciel PYC SI>KlRcnion. " <br /> PI Pupate ❑Dlhar I1 Dau Depthof Cut., S.N _ t Type sl Omar 9FNTONI TE coL <br /> I I1,60tkn _Apron..D.pth II truun suit,"Saw lmun.d W'IF N N I N G S EROS. DRILLING CM <br /> '.I Rel Wwk Dona' 0 Topa of Pump ILP.V.., SLIe Work Dons <br /> Wel D.sWclbn 0 Was DiulLlu ___ Mellly ;i.url.l . p.plh_ _.__� . R <br /> DepthIDD r-/ar r1�/H�Filler IYurtel E Depth s <br /> TYPE OF SEPTIC WORK: NEW INSTALLATION I I REPAIT11AUDITION I 1 DESTRUCTION I I INe Wilt,eHLm pumhted K puthso ea.sr If <br /> eweehls witNm 700 hall <br /> Im1e4Non Mi""! ReAEenn_ C,wn tW_. oil._ <br /> Number of Nino unhe:_ Numbet of bedrooms �y <br /> CTvw w of IN to 1 Meth of O lestWins,Table depth C It <br /> SEPTIC TANK "' O Type/M7rl Cepaby No, Corrperhrrrtts Y° <br /> PKC.TREATMENT PLT.0 ���ryt���rr��.ya�a�y Method of <br /> Dismiss Io nseral:_....y'eeN{LW=rjrbrmnv, rwfTt <br /> j �wua.tt�fEELAL <br /> LEACHING LIPS 0 No.B Length of trout ofawyme <br /> FILTER BED ❑ Di.,erwe Iair <br /> lo re, Y Wel -_--_ Ilpf"Y LM <br /> SEEPAGE PITS 1 1 Depth --Bin___ Nu abs, 4 <br /> SUMPS - `.LI IDielena to noual: Wee Nwndellon Prop"Lkw - <br /> DISPOSAL PONDS 0 <br /> I heretty eenffy Thal I hcte Plepued this.poRtalion and IMI IM work vast be oora In accordance,VMh BM Joaquin eotflKY errdlltetltel.ELM sams,wed <br /> rules and repuutbns of the Son Joeeulo Count/ <br /> Hems ownw or Kcerteed spent'.slpnnure osnitW he f Wewkp:"I ceMly that M the peHMnenre of The woe.la WhIch iMe lose I.island,I"ON <br /> tvnploy arty penin to such manner a to become Iublect to workmen's Goff paroallerl le"of CoWOrW."CorH1ep1.II hake pit ,v0enI sip"w <br /> cerWlee the follownig!"1 certify that N IM pe.le•meltce of the work ler*hW dtb verrnk N sound,1 shell m gloy persons Ilrblecl b uorkno l'!cownperl <br /> root Is"of Calwomle". <br /> The epokwt rivet call Iw a tequhed Mope(,c�ibn.�C�o�np410 d <br /> ,.. on rN 1. <br /> Slgnsd Y MSMMAA lk 15=1-L=l�-ts, II•M `-TO-V�- Dow: <br /> FOR DVA INT U911 ONLY <br /> I Appgca lkwi Accepted by - Dne - `�L Atha <br /> 1 Ph W Clout tnpect`In by DS14 Ill Inspection by Ocie /4}'/}f/97� A <br /> AOW1bnN C01n.nrlu: -(� � <br /> Appl lc ant - Return sl'I�o01�i to: n�eEbu In bun t)r Pu�l�rcca���.ata rwtoli �(9�n`� /0" <br /> 3L{rU2, . Boa IT Ban eel Rin,tk C Seltj2enuee / _ tNt'/.a <br /> NS K Sen Joaquin,Real b C BOR ,",,v Bun, OA BSBel -Avt CCl7e�l <br /> 111-tr6 SAN I� <br /> C>tv++T <br /> FEE AMOUNT DUI AMOUNT RI WTIID RECEIVED BY DATI ryRAYt'NLI, - '. <br /> IM Ile IRN.Ir.II WSJ /1 13 q) <br /> IM WII VV 1 r <br />