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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N SAN JOAQUIN, PHONE (209)488-3420 <br /> P 0 90E 2009, STOCKTON, CA 95201 <br /> PERMIT c.=n__ I3oe�VE 1E FROM DAT IS4I p,0 <br /> (Complete in frlplicete) <br /> rr1• t0 Ben Joaquin Count; for <br /> •• ^^.pltanea vlth Ban Joaquin Cp my O dlfunee no. 549 AM 1869 and the Rule.rmit to Conatruct and/or iR9t4l_1 the vork Wraln d, ,aoad. Th 1, <br /> "•11th dergee.. aaa A.NLtlene of lefe <br /> C,IrLv40a\L_ Lot 91t./Afrw• _9-7 1U <br /> Dw,-., 1;.^. _ "� A. �- _ Addr.fl •�(�`S!rl-J`'�ZL..�G�1_ Phone <br /> a_ <br /> C"",. •.-.I Aeelett Little, No Poch <br /> NEW WELL fl WELL REPLACEMENT f O(STRUCTION I I out of rt' <br /> P'JMP INSTALLATION C SYSTEM REPAIR LI OTNIR C'. "knlwiz 111Ely <br /> Dt5'n vrt _n . n"-"T <br /> -- — - - — SEPTIC TANK SEWER LN($ — DISPOSAL i10. � O► UN! _ r <br /> FOUNDATION AGRICULTURE WELL OTHER WILL PITSISUMPS _ <br /> '•<'Err:r TYPE OF WELL PROBLFM AREA CONSTRUCTION SP,CIFICATIONS <br /> ^""""•' ' Open Roltom ❑Manlece Dy P/WeM lrtwetall Dy of Wea Ceaerp <br /> G.aral Pact ❑ Tw, Type OI C1 <br /> Mn9. <br /> P"•,.,.1 .Oltwr Il Dolls DeP1h of Oreut Sam IrP.W Groin <br /> . u•r,•.'.•nn __ Aorxo.. D.nlh 1 I Ewum Sudwe SM Intl~ov _! <br /> Rfo+r Ivwr ^. tvd of Pump N P <br /> Store Work OOM <br /> Wool C.•...,c•...• -, Wall Dramas eeallrld IYHr1e3 6 DryM <br /> r-"h Piller TYtaHal b Depth <br /> T"L UI 'a'.'I11 v1 NtW INSTALLATION N RE PAIR(ADDITION I i DESTRUCTION I I IND wP1rf tr.4ht"Immen a P.bec ower• <br /> .. , <br /> h ...." 1, s""oo wuM 2m IML 1 <br /> C/ mn.n.uon nr.Nnu_ Camrreul AO•ftlh.r���.{ Mt t1Eti-. <br /> Num .r or I——....... � ber of nt <br /> Num0.• _ 3 <br /> Cnaeawr of r 1 m +0.01tt o'3 NOT tzism a•1 E2.0 __Wena law depth , a� <br /> SEPTIC TANK m, Typal Mfo JAE Cowgv kM O NO• ca"wommMN _ <br /> `)1I PRO 'RFATMENT PLT I,1 QInt r Method of Draaolal <br /> Ornahfa w hearwr Well_/Q.I� Fo—www.—lr�ar��0 hooerry Lw ►30 <br /> LEACNtNG r.m -- .� No E LwVlh of(bee _ 'ACJ__/=�(t Tate.len 1n/Tire <br /> iItTFR REO I 1 D•ftenea to neawt: well _ Flruhdmron—�_ Plopero,L <br /> ScEPAGE PITS rt( D.ptn _Slw _ fNumWr <br /> SUMPS r Dnurlu to _ �_ 30� hgrrry Lea�&r �. <br /> nowast: Weng feundetpn.'C <br /> 15po, ^ONnS rl <br /> 1 MOPY N9rIY hnr I•,v.MPD.,w It"b"I"tntm and Ilgl IM WPY Wrll he CIO"M a[Cpldenfe--In SM JU.IIYm COun<t tolerances. state laaMt <br /> Won,.nd nper.r�...... ret.San JoegaM covoty <br /> NOm.Ownp n•4 •"..1.n.nre.rphatuw tends IM foaowrnp "I cantly that M IM wdorm.nce of the w h fa.MMh mH porrM K MVed.1 MIR IMI <br /> empleY.ny p.gnn n,,"h m.nNr.f 10 McdIN au61Kt 10 Wo'tmml'e corn enwlpll tho,Of cohfw W, COnIrKIq 1 Mnq Or wb fenlrKtMp what... <br /> C.ndw.In.rnnnw••� r+nrrY'hot T IM wrfnrmence of IM wort to,wNch th.1 parol%rwved.I chaff employ 09,60ho.UbM:110 wpt TaA.fw.rpanw <br /> ITh IPW.M C I..r•.n r f <br /> The.nn'.r nq`-111.1 r+ an ragmW aawnrona. Caop.w E..wxrp not nw,w tra <br /> Sworn _ • L ( Tate �(7.3t <br /> , <br /> Dor <br /> -a_q <br /> Z- <br /> A"I.,.nnYDn _'_=m1p-- _ <br /> Am <br /> Pit nr C.1­1 r _._ Data____ yTm Inspection by Oa._ L <br /> ' r •'� •'^Pl.w to: R.n JIn OOIn C^only Panllr flh.11n ^xntr.•n -- - <br /> Bnvlrnnrnwnlet Nrath Pwrwl t/!Irrvlrnx <br /> can N h.n ,If LljR• P 0 Rn. 2A09. 4tNn. r'A 115261 <br /> '.'CU1 AMOUNT'Al MITTID C 1, R/C11vt0 Rv OAT[ . l NO <br />