Laserfiche WebLink
i LIQ,, WASTE PERMIT <br /> SANIOAQUINCOUNITPUBOCHF.AI.TH SERVICES ENVIRONMENTAL HEALTH DIVISION %ft <br /> 306E WEBER AVE.3-FLOOR,STOCKTON,CA 95103 (309)068-IC S F,yFR NCI-rq C`F- <br /> NO -R MAU P RMITE :RES R FROM DATE ISSUE <br /> JOB ADDRESS I '7��F D 1 /1 w� +tel/. Fc <br /> CITZP PARCELSOMAPN INSs=-'ECYiR�NS <br /> OWNERNAME DDRESS _ <br /> CITYAUP PHONE <br /> CONTRACTOR <br /> ADDRESS <br /> �'1JA <br /> clnzP PHONE4: /2 9 ) /6 7 9 Z 21 <br /> 1 GEOGRAP HCAL IN VRMAHON:COORDIANTFS: X_Y_TOWNSHIP---RANGE_SEC I0N <br /> PERC TESTIS)( )HOW MANY / APPLICATION N <br /> TYPEOFSEP IC WORK: ❑ NEW INSTALLATION I—i!/REPAIRJADDH30N ❑ DESTRUCTION <br /> 1 INSTALLATIONWILLSERVE: 13 RESIDENCE ❑COMMERICIAL 0OTHER <br /> LNUAffiER OF LIVING UNITS:_ NUMBEROFBEDROOMS:-3- NUMBEROFEMPLOYEES:_ <br /> CHARACTER OF SOIL TO A DEPTH OF 3 FEET: PITISUMP SOIL CHARACTER WATER TABLE DEPTH <br /> OSEPTICTANKKJREASETRAP TYPFIMFG CAPACITY NUMBER OF COMPARTMENTS <br /> I ❑PKG TREATMENT PLANT DISTANCETONEAREST: WELL_ FOUNDATION PROPERTYLINE <br /> ❑LIFTSTATION SIZE TYPEOFPUMP SANDORLSEETPARATOR(ENCLOSEDSYSTEM) <br /> ❑LEACHING LINE NUMBER A,LENGTH OFLINES l J.�T�/INFILTRATOR CHAMBERS ��^^ <br /> `1 DISTANCETONEAREST: WELL FOUNDATION PROPERTYLINE ✓ p, <br /> ❑FLLT1:R BED- WIDTH LENGTH DEPTH <br /> `R DISTANCETO NEAREST:WELL FOUNDATION: PROPERTY LINE <br /> ❑MOUNDED WIDTH LENGTH DEPTH <br /> L DISTANCETONEAREST: WELL _FOUNDATION PROPERTY LINE <br /> ❑SEEPAGE PRS WIDTH LENGTH DEPTH <br /> DISTANCETONEAREST: WELL FOUNDATION PROPERTY LINE <br /> n <br /> ❑SUMPS WIDTH LENLTH DEPTH <br /> DISTANCETONEAIUS. WELL FOUNDATION PROPERTY LINE <br /> ❑DISPOSALPONDS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE O <br /> I HEREBY CERTIFY T T I VE PREPARED IS PPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCES,STATE RULESAN TI FSANJOAQUI UNTY. <br /> SIGNED: TRLE'�e1/ g�Tg-1 OA 7�6`QO <br /> S <br /> 44 <br /> 1571 Iz <br /> Is 4 <br /> 1 <br /> { S <br /> 1` o <br /> 1 .Z,,:l��a�f(f��ENTWEo RECEIVE A-MWAIWNACCEPfEDBY: C ` -`�� -� RE DAfE 2- OJ <br /> 4 TA-. 7na kTrj <br /> yw MAL,iSPECT1INI eY:• <br /> pOU1N C0 Ti <br /> COMMFMS: SpN JO _ OIIITES <br /> B PU8 MFNTPi HEALTH DI�� <br /> }4` PEGODE SC AMOUNT RQ:EIVEDBV ,018 PERMITSPRVICEREQ,PSTX SEPTIC IDS <br /> REM 'IED a 1-4- <br /> I-LA It <br /> - <br /> PLATE 11, Page 13 of 16 <br />