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08/29/2005 13:43 4640136 ENVIRONMENTAL HEAL- , PAGE 01 <br /> �— 0? SITE*w.ASTEWATER TREATMENT SYSTEl-A,.wsRMA <br /> SAN JOAQUIN.COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304£WEBER AvE-3"°FL-STOCKTON CA 95203 -(209)460.3820 <br /> NON-REFI,INBABLE PERMIT CALL 209 9$3-7697 FOR INSPECTIONS EX 'ES I 'EAR From DATE.ISSUED <br /> I JOE AnDREcS i p �' R---CrrY121P R <br /> Cxo:s ii:REFI T t R----� APN lf:t G "'i PARCEL S:ZF ^'T <br /> OWNER NAME. p PFIONE <br /> pwNEu AnDRESS 1 t F` Z �.�—• CrrvBrAT•P1ZIP <br /> BIS I CONTRACTOR �1,/ PHONE <br /> CONTRACTOR ADaRESS CITY/STATE/ZIP <br /> LICENSE ❑C-42 ❑C-36 OTHER NUMBER EXPiRATiON DATE I <br /> WATER TABLE DEITH: R GEOGRAPHICAL INFORMATION: Canrd{Rat- X Y <br /> FF RCTEST �..r i3UILDING PERMtT/I+ LAND iJ5L AP?L[CA':tpN it G—A <br /> TYPE flF WORK: r ❑ NEW INSTALLATION ❑ REPACR/ADDITION J ENC•dNEEx DESW^HED/ALRER{NATrve <br /> ❑ REPLACEMENT O DESTRUCTION __ I <br /> IN5T'ALLAT[ONWiLLSERVE: ❑ RESIDENCE 17 COMMERCIAL ❑ OTHER {i <br /> NUMBER OF LIyino UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYP.P„i: 1 <br /> Q SEPTICTANK TYPEWPO CAPACITY Az 9 OF COMPARTMENTS I({• <br /> ❑ GREASE TRAP T'fT F-VlQ CAPACITY _ 241 '-t OF COMPARTMIS 7= <br /> T- PKG TX PI.A}VT FJ0."r.cncE TO NEARER: WELL R FOUNDATION ii FRaFa.TY uT5�_R I\4 <br /> l0. LiFT STATION 3at TYPEOP PUMP 13 SAND OIL SEPARATOR(ENCLOSED SWE4I) <br /> ❑ LEACH LENES ❑ LEACHING CHAMBERS a OF LrNEs LENGTH OF LINES 9 <br /> I),ST.ANCx TO NEAR64T WELL R FOUNDATION ?P-Oi-EfiT'.'LINE R <br /> ❑ FILTER UD WIDTR ---- * <br /> DETANCE PROPERTY LINE ft <br /> boo ZI '-wicumFu N:MH_ POSW Fax Note 7671 Pero peq I' " + I s <br /> DLSI',eNCx Tb O From F-,OPERTY Lm- ft ! <br /> ❑ SUMPS vnDTR_ Oodoe", D f� � ft <br /> Pwr.\NCB PROPERTY LNE 4 <br /> al,nn.tr Phor"N <br /> Q DTSPOSAL PON" Wml"am tp <br /> DI:TANCE Pox B ILrJ ZC F®(11 (b [i Q. )R^PEF,i f LINE R <br /> ElSEEPAGE 7[T.5 'Cti.MBER �!� O 1 I <br /> DW�ANCETONEAREST WALL R FOUNDATION ft nOFEF.TYLINE R <br /> bon I HEAEBV CERTIFY TWAT t HAVE PREPARRIP TRIS APPLICATION AND THE WORK WILL DE DONE IN ACCORDANCE WITM 5AN+OAQUIN COUNTY I <br /> ORDINANCE3r STATE LAWS AND RULES AND REGULATIONS OF SAN JOA2UIN COUNTY: <br /> MINIMI; HOUR ADVANCE NOTICE IRED FOR INSPECTIONS-PLEASE.CALL(209}q53-769-7 I. <br /> SIGNED TITLE f� �� DATE <br /> I I r <br /> ( I <br /> 1 I � <br /> m•v <br /> I <br /> IF <br /> 44 <br /> � ;oo• <br /> I I I I <br /> tt low' <br /> i I i <br /> `0 <br /> L I I I <br /> Kaeuary o' <br /> a •----- <br /> Ii gl/ <br /> ill <br /> o <br /> � I �I til f <br /> Bills // /DEPARTMENT U L <br /> Aad lcetinG Ate:pied 13z•%,Y•h(,� +� v / AfCa I ampwy=[Dx <br /> Pinai Snspkcticn Ry /J— Date ❑ SPECIAL PERMIT-ADptoved 5y <br /> Charaeter of 50 to Depth a3'3 F:: Pit/Smm�!ieil Character: <br /> pg SC Reeeiverl Tc Amount Pcr <br /> Pate, ;n1'91ce a Pcemlt I)DM <br /> ar I 1 'Rah Rem{ttcd Serv+ee Rd ct a <br /> Cnue }NEO B `P• <br /> i O;.sITE:vASTEwA-.T`PERIVIT <br />