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SU0005297
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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4520
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2600 - Land Use Program
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UP-88-15
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SU0005297
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Entry Properties
Last modified
11/19/2024 1:58:56 PM
Creation date
9/8/2019 12:59:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005297
PE
2626
FACILITY_NAME
UP-88-15
STREET_NUMBER
4520
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
APN
17920030
ENTERED_DATE
8/15/2005 12:00:00 AM
SITE_LOCATION
4520 S HWY 99
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\4520\UP-88-15\SU0005297\EH PERM.PDF
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EHD - Public
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-QUID WASTE PERMIT <br /> SAN MAQUIR C�� jjUBj %I.TH SERV IC ES IN VIRONME=I_.11FALTII DIVISION (y <br /> NN 1%.14 AV�R.STOCKTON,CA 953D313W1 MX-1JM <br /> NS`IN-REFUNDAR"LEEaPEERMIyT EXPIRES I IT.�AR/FRI'M�IDATF.ILGNIi.1F c <br />.ADDRESS Il- I *Z /&"AFH ' T/ C•✓L/`��/ PARCEI.SIZE: // / <br /> EyyP y .l BUILDING PERMIT <br /> VIER NAME\I I FAJIn r2g&t lr-JL[fl S✓5 r_, ADORES9 <br /> IVOUP PHONE NUMBER <br /> INTRACTOaJ.�tz7.F�K..Ld�1IC./L 57-7-Jo <br /> �yl <br />'11'/UP S-m C4 FFTN / PHONE NUMBER • <br /> EOGRAPHICAL INFORMATION: COORDINATES:X Y- TOWNSHIP RANGE SECTION_ <br />,PEOFSEPTICWORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: <br /> NEW INSTALLATION ❑ RESIDENCE NUMBER OF BEDROOMS: <br /> REPAIR/ADDITON ❑ COMMERCIAL <br /> NUMBER OF EMPLOYEES: <br /> DESTRUCTION ❑ OTHER <br /> ENGINEERED/ALTERNATIVE <br /> IARACTER OF SOIL TO DEPTH OF]•: PITSUMP SOIL CHARACTER: WATER TABLE DEPT II: <br />\ERCTEST(S) HOW MANY APPLICATION# <br /> SEPTIC TANK TYPEIMFG CAPACITY N OF COMPARTMENTS <br /> GREASE TRAP TYPEiMFG CAPACITY NOFCOMPARTMENTS <br /> PKGEX PLANT DISTANCETONEARKSO WELL FOUNDATION PROPERTY LINE <br /> LIFTSTATION SIZE IVPE.FFDMP SAND OIL SEPARATOR IENCLOSED SYSTEM) <br /> T <br /> LEACH UNE OF LINES: LENGTH OF LINES:_ pniwxC[iOnLwcv: WELL FOUNDATION PROPERLY LINE Vt <br /> INFLU RATOR CHAMBERS: N <br /> FILTER BED WIDTH LENGTH DEPTH_ olxrwxt[ioNWLm WELL FOUNDATION PROPERTY LINE O <br /> MOUNDED WIDTH IYNOTN DEPTH DTAxLEI.PENMST: WELL_ FOUNDATION PROPERT'LINE <br /> MIMPS WIDTH LENGTH DEPTH_ R—AMtRON[MEED WELL FOUNDATION_ PROPERTY LINE <br /> DISPOSAL PONOS WIDTH LFl![:TII DEPDI p¢un[[Ton[ARur: WELL FOUNDATION_ PROPERTY LINE <br /> SEEPAGE PITS p DIAMETER_ DEPTH_ DVTAWETON[AREFT. WELL TOUNDATION PROPERTY LINE O <br /> HEREBY CERI'IFVTHAT I HAVE PREPAREDV APPL ATION ANO THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES.STATE LAWS <br /> ND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> M IM 13 OU VANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE <br /> /CALL(ZB9)16R-NEJ <br /> GNEIE x TITLE: /Z-N9�N c TL/A—DATE: !!i 'R— <br /> RIP <br /> GG { <br /> I <br /> I <br /> XXX <br /> PAYMENT .. <br /> REMVEC <br /> U�12L2DO�E - <br /> Lm - NMAT A�ICllip Cij I <br /> — FUBLIONMHJI�I HCHEALA >— <br /> �•_ � +I I :F r:•; I <br /> ���T�1/'♦- DEPARTMENTUSP.ONI.V T`? /J <br /> IIM'ATION A(TTrtED.I. VYNY A DATE I�AREAL� EMPLOYEE IDI+ + ,Ill$Tjgl" LOCATMM'9 9 <br /> -DATE - PERMIT FINALb YFSDAIF NY 11119 <br /> MN`7_ a^• `���/Y .fin. �A'W{ aai_. <br /> rtrooE sc Imu aENdIF u A-MN RECEIVED fr�� �PERRL RIxE�ussr. T77 <br /> 8 AW3o4 6 <br />
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