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—�s <br /> APPLICATION FOR PERMIT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HT ZELTON AVE ., STOCKTON, CA <br /> elephone <br /> 09) <br /> 66 6781 <br /> PERMIT EXPIRES T YEAR FROM. DATE ISSUED <br /> (Complete in Triplicate) &woes.TI.a MWI-:v ' <br /> rice N. <br /> 6N71a 1r. <br /> ,.M a No.tB62lor v.aal Pamn eM tle Rales arW Ptqulaliorn of tN Sen Ja+Ru�n <br /> ApIkstion n h Irby rruA" to iM Ban Joaaun l.acal Heahh pi+ttKi Ir•per^'M iP crvtElruci arM:or rnup ilre wmk hnert, . <br /> nope n cMpkMMe with_+n Joaoum County O,Mu <br /> Local""th D-I"' <br /> �[(I/, `��J[S� <br /> Jab AOMeaa dJJtLJ�lf'—'-- Loi Bila_--� PM <br /> rnlg�¢sL �°^° q3 6 <br /> Ow'tw'.Nanr ' I,f,s-1Q, Pn— <br /> fp��f ��� �1 1IE �L�censDESTR1��— <br /> Conbapa/��dl`k '"—ELLeu DESTRUCTION ❑ <br /> Nom,WELL WELL REPLACEMENT E' OTHER O <br /> TYPE OF INELLIPUMP: SYSTEM REPAIR/y/ PROP LINE -- <br /> PUMP INSTALLATION ❑ _ DISPOSAL FLD.--- <br /> $EWER LINES _ PRS/SUMPS <br /> DISTANCE TO NEAREST: SEPTIC TANK AGRICULTURE WELL .— OTHERWELL _ <br /> FOUNDATION <br /> MTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS Dw of We.C.sm <br /> ❑Open Bonen O Mena" Dia.ol'NeY Exuvation Spec;fMavon' <br /> O irtdua ❑Tri, Type"I Cl-N — T 1 Grwt — <br /> O DaneatK/Privne 7 Grand Pa Dep,pl Grout Seal _ Yoe a <br /> o1w n Dolts <br /> ---- <br /> �tfA.dc I I Eastern Surlau Sul In'uY+O lay pp� Q/JL <br /> DapN Suta Work N <br /> 11 of P <br /> Inry+ l7 T <br /> ,k O <br /> WM.P._---� <br /> Paper oro yM rMtw <br /> Sal <br /> Wd Diyttaiw BeaYrq MmeriM Itop W <br /> Wall Dannanion Fier Ma anal IBebw 502 yc xwvr a <br /> DMMh <br /> avadahla vntMt 2001_et.l a„✓a., <br /> iYPC OF BFP�EW INSTALLATION 11 REPAIR/AUDITION I I DESTRUCTION l I INo'eVt K <br /> CwrMnMd'I Omm <br /> WtdlMioa w.l arya: RaaiOMtca_ \ <br /> Number d haWtMMis--- Wath Iabin EMih-----_-- <br /> Claaractar d. iO• pth d 7 lea: — C"Oaty N. CangaMmnu <br /> 6- <br /> SEPTIC TANK CI T"IMlp Mett of Dopoaal <br /> PKG.TREATMENT PLT.OFouWaiion p, MnY L. P <br /> D'mwtu w IYa(tal: y _ <br /> TaW larytb/alea� <br /> LEACHING LINE CI No.i Lr get d Yrra_. I <br /> FoiaMation <br /> FILTER BED Property <br /> wrVarYt: Well ; <br /> O DM1+rrce .' <br /> 1 SEEPAGE PITS ll} --� Fay <br /> n � PropenY Lirr <br /> SUMPS l\,,�tYt[01V tTIWME —�� <br /> DISPOSAL PONDS CI accu0anca with San JoaOu'+t ^ty ordina COS•auU✓+ws• <br /> anA a <br /> ,arW this SPPW—WASP �'iaw wak wa a eon.m 7 <br /> pre{ M latu+0.1 aKa rot £ <br /> ! I MraC'/OMtYT' .4 tlu San JoaPrm LOCI MWN, iT ealE�lY.lhat N tl+e Mrlpt^erc.d the wak for lt «� ttxanY t+finawu -,+ <br /> tiM peaO'1 <br /> Mu <br /> and narbtWrla neon cdtiliw lwww :. <br /> HMM Hwy pl%='O d appyF arq w a coOpMaatgn lava d DKIOffJ."Co,, toys 1 io workman''coaierua- <br /> Wnrwy any paaaOO n num maae�EF to Mcaf✓I"A'I�i yty pymt e.iswG.l aM E e^Wby Mmru wlajac <br /> ! np: <br /> ^I <br /> tion 6wa7whaMa" <br /> TM CarMiy IAat it yla{IrlOrtttanca dIpELE�auwdofakwtMoM waNnaMrAeverie <br /> ? <br /> +pvMean <br /> _ win: <br /> --� DEPARTMENT USE OIL I?, ,—/ i {. <br /> wta <br /> Apd'catbn Acca?aO 6Y FirW lmpaction by f <br /> _ Dau <br /> Pa ar lirorrc IrMpecrOt by -- i <br /> 1 Ae0lNloatal 0.annnn _— <br /> n M pOpiaa to:(YtrvB—iJto0a—v1t},lY—laM— } 1 O.MTa,+dwn Aw.. <br /> . . ; Stk.,G 701�AWMq 2000. <br /> UBu ae6Q1 O LN /EeM Prm/SMw1601 E <br /> ApPliIO <br /> REfi1vEO OY OATE KRWT M0. i <br /> ' y Aa10UNy pts AMDIMR AEWTTEO USN t ` <br /> .ae iF+a eRV.r.• <br /> �S C—h <br /> Or YY <br /> ���-.�..vvmwxwa+�vW'+t+r:.aaYa:tiNidW r'tari'Iks.otulLir:'.w44k1@"Ap ala+-r"•�••••:..•••�•----__._' <br />