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LIQUID WASTE PE RMIT r . ri <br /> SAN JOAQUIOUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL Fitdlli DIVISION <br /> 304 E.WEBER AVE.,3'D FLOOR,STOCKTON.CA 95202 (209)468-3420 22-4 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FRe. 1 e — -z.,e. AJOB ADDRESS- . <br /> I .l o ► s c • r gra <br /> V& / PARCEL SIWAPN_ 1 i <br /> • <br /> .• JrHOW. ..r., II <br /> CONTRACTOR - ADDRESS 2�k Housiov-) <br /> crryalp PHONE i <br /> GEOGRAPHICALI • • •••. •' 1' <br /> WORK:PERC TEST(S)0� HOW MANY I APPLICATION#-. <br /> TYPE OF SEPTIC . NEW INSTALLATION ■ REPAIRIADDITION <br /> INSTALLATION WILL SERVE: E3 RESIDENCE E3 COMMERICIAL OTHER <br /> NUMBER OF LIVING UNITS:_ NUMBER OF BEDROOMS:— <br /> CHARACTER OF SOIL TO A DEFM OF 3 FEET: PITISUMP SOIL CHARACTER:— WATER TABLE DEPTH <br /> ■ OF . <br /> -ATMENT PLANT DISTANCE TO NEAREST: WELL FOUNDATION— PROPERTY LINE- <br /> 0 PKG TRF <br /> 13 LiFr STATION SIZE�__ TYPE OF PUMP SAND. •• (ENCLOSED SYSTEM) <br /> ■ LEACHING LINE NUMBER&LENGTH OFLINFS INFILTRATOR CHAMBERS <br /> DISTANCE TOFOUNDATIONPROPERTY , <br /> ■ FILTER BED WIDTH— LENGTH— DEPTH_ <br /> DISTANCE TO NEAREST: WELL— FOUNDATION:— PROPERTY <br /> ■MOUNDED WIDTH — LENGTH— DEPTH — <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY <br /> ■ SEEPAGEa <br /> DISTANCE TO NEAREST: WELL FOUNDATIONPROPERTY <br /> 0 sumps WIDTH LENGTH— DEPTH— <br /> DISTANCE TO NEAREST: WELL ------YOUNDATIONPROPERTY <br /> ■ DISPOSAL . LENGTH <br /> APPLICATIONbISTANCETO NEAREST: WELL —FOUNDATION—PROPERTY LINE— <br /> • •K WILL BE DONE IN ACCORDANCE <br /> ORDIANCES TE <br /> FW <br /> r u �� r <br /> wwwww■w■■■■■■■w■■■ww■■■■■■■■ww■■■■ww■ww■ <br /> ■i■■■■■/fi■■■1��+!Irllr.".I�s�'■1■■■■■■■■ !■!lCIi1T17■■ <br /> ■■l�\�%■rr=`jai■�1■■�Iw�lr■��■■■■■■■■■E�■��9'i'E��!■■ <br /> ■!E1■[:�liii■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ <br /> ■■L�:�■irll`il■'!11!!11■I!I■1!■!!,'■�I■ISI■!i!r!■■■■■■■■!■■■■ � <br /> ■■G■�I■I��■■Iu 01 i4lbJ■ri5N!-11'if.�mI11Ai 5Ths aiI■■■■■■■■■■■■■ <br /> wlww�w�r'�w�;��n-a� w;�r-w��w�w■■■■■■■■■■■■wwwww <br /> r 1 a. : • <br />