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SU0003524
Environmental Health - Public
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EHD Program Facility Records by Street Name
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J
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JACK TONE
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3256
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2600 - Land Use Program
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PA-0300152
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SU0003524
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Entry Properties
Last modified
12/4/2019 11:40:03 AM
Creation date
9/6/2019 10:26:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003524
PE
2690
FACILITY_NAME
PA-0300152
STREET_NUMBER
3256
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LINDEN
ENTERED_DATE
5/3/2004 12:00:00 AM
SITE_LOCATION
3256 N JACK TONE RD
RECEIVED_DATE
4/17/2003 12:00:00 AM
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\3256\PA-0300152\SU0003524\EH PERM.PDF
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EHD - Public
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r <br /> 0NSIT1+.rr ASTEWATER TREATMENT SYSTEM,� 'RMIT <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE-3'O Pl.-SrOCICTON CA 95202 -(209)46&3420 <br /> NON-REFUNDABLE PERMIT C-AI 209 9S3-7697 FOR I NspEcirFONS FXPI REA, YEAR FROM DATE 151,II1ED <br /> JOB ADDRE5S r (�PJ CryTy/ytP :n <br /> CROSS BfRELT APN �y f74 77-.� PARCEL S4 9 <br /> DWNP.R NAME <br /> •` OWNERADDRE58 <br /> (:f)NTRACrGR JQ � a r• �rtJ� PHONE. 7 Q•� <br /> CONTRACTOR ADDR6R4 CrrYISYATE/LIP G~ <br /> LICENSE C42 LI C-36 OTHER NUMp£R _ E%PIRATIONDAT, O <br /> WATERTABLEDEPTII: ft (MOCRAPHI(ZALINPORMATION: COOrdlnalteJ X Y <br /> C7 PERC TEST N BUILDING PERMIT# LAND USE APPLICATION N <br /> TYPE OF WORK: R Naw INSTALLATION REPAIWADVITION ❑ ENI:INF.F.RDPRFCNFO)A1.TP.RNA'fivE <br /> ❑ RRPIACRMENT ._ LJ DuTRLCLION <br /> INSTALLATION WILL SERVE: ERIDENCF. ❑ COMMmut. ❑ OTHER J <br /> NUMBER Oe L1Y1NC UNrrs: Num!IER OF HEDROOMS: NUMBER OF EMPLOYEES: `VT <br /> ❑ SEPTIC TANK TYPUWu CAPACITY UC✓ gal Y OF CAMPARTMENTS` v <br /> R GREASE TRAP TYPkfMFo CAPAr:m pt *Or•CnMPARTMr:NTs <br /> ❑ PKC,T%PLANT MyrANcF.T4)NrARF$I: WEI.1. ft FOUNVATrQN ft PROPERTY LINE R <br /> ❑ LIFTSTATION Stu, TYrEOFFUMP C] SAND OIL SEPARATOR(ENCLOSEDSYSTEM) <br /> LEACH LINES �N LEACHING CHAMBERS I N OF LSNES�_ LENGT'u OF LINES_ / Q —R <br /> DISTANCE I NEAREsT wELL ft FOLNCATION •J R PROPERTY LINE It <br /> ❑ FILTER SED WIDTR ft LENGEH R f1FPTH ft <br /> DisTANcE TO NEAREST WELL ft FOUNDATION R PROPERTY LINO R <br /> p MOUNDED WIRTH ft LENGTH r H DrPTN ---- -- R <br /> DISTANCE TO NEAREST WELL A tOUNOArIQry A rROPEETY LINE R <br /> ❑ SUMPs wLUTR R LPNom ft DYPrH Al <br /> DISTANCE TO NEAREST WELL It FOUNDATION R PROPERTY LINE _tt <br /> ❑ DISPOSAL PONDS WIOTR _.._. _--_.ft LL•NrTH._ ...-..,�,...r-- R DErtll O <br /> DIBTANf.TTONEAREST WELL R FOUNOA710H it PROPERTY(.ME R <br /> { SEEPAGE PITS NUMB" W+O'ER f dttil" R DEPTn 95-7: ft <br /> DI6rANCE TO NEAREST W£L.LR FOUNDAI'LON 7 D PE <br /> R PROEIY LINE R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS ArrLICAnON AND THC WORK WILL HE DONE IN ACCORDANCE WITH SAN JOAQWN COUNTY <br /> ORDINANCES,STATE IANS AND RVI.7,5 AND REGULATTONS OF SAN JOAQVIN COUNTY. <br /> t` .V! MUM 1,e OUR YANG ICE RE%J71)FOR INSPECT NS-PLEASE CALL(209)95b-7697 <br /> SIGNED Gl�� TITLE DnTR 4;�7 A 7 <br /> r <br /> r <br /> (i <br /> i <br /> r T W l <br /> u %1 !G E. <br /> PAYMENT <br /> RECEIVE© <br /> - � ` -` SAfI JOALlU)1`1 COUf11Y <br /> 2c ENV4F��NM�TM�� <br /> H�,LTIi pEpAR <br /> EPARTMENT YSE O LY _ <br /> AWkaNan Ar"Vted It _ _ �� Dake .;?--7 07 Arm Employee ID# <br /> FIRM 11111Wtlon Date^ 0 SPECIAL PERMIT-Approved by <br /> ChRraeter Of soil to Dep f 3 M: PI mP 5oll Cha or: <br /> COM NTS aT-u F AE-C_o� 7 -3"L} - g IL-L- -7-bOi9 / <br /> tU�Lt '7� LAG �� ate {-�v� 1+SOr <br /> PE SC Received CbecWl Annaat Permit! <br /> te <br /> Code INFO 6 Cub Remitted Service Vest A' knvalce9 Permit 109 <br /> 1 It-s- tltt <br /> 4240) V�51t confirMrM'iDn ONSITE WASTEWATER PERMIT <br /> 1u22nw1 i Lee q� rt �r f' �.a'p 6rt x )}d, <br /> �raw zc ,-- 314 � �i � .t�r%��),A2Yl� �%srfG T fir`-scram j M--v4f6 5:T <br /> bd5'r-1'eW--5 ; xr�-9_ ra Z !.1 T <br />
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