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AN JOAQUIN COUNTY CLIC HEALTH SERVICES <br /> ENVIRONMENTAI`nEALTH DMSION V Itl S <br /> ,04 E. Weber Ave.,3rd -!-!c•r, P O. Box 388, Stockton, CA 95201-0388 <br /> (209)468-3420 TON, CA 95201388 <br /> NOTICE TO ABATE <br /> /L{e 0,6 LE --5/G- / 6OLS E ISSUED <br /> Owner —c,616,- 4�+� S to ee v/CJc Date of Inspection 14c4GeeS7`l,199 96 <br /> K DESCRIBED.THIS APPLICATION IS MADE IN COMPLIANCE WITH SAN <br /> Address /ODG 2 N>< 1 FO E e Q Cj y�In Tf eq , ?'57 3 2 'ALTH SERVICES,ENVIRONMENTAL HEALTH DIVISION. <br /> Occupant _ PARCEL 812E/APN# <br /> Address 1C PHONE N <br /> Type of Establishment s/...C,c E F.q P-1(14- -r-r" PHONE 0 s 27 <br /> Location 'f'/ n) - A�-14 A?-O 1¢V L-0 O/ uc# PHONE# <br /> Complaint or Violation /61.v� i. )S�iC CSD �/ ?j o^-r_cST7 c- 4rAE-C4- <br /> /JT /tfV'!rF N -�R� 2d Lao/� tST�/ X06 Z-Er BICC- ❑ OTHER <br /> / ❑ VAPOR EXTRACTION WELL ✓ <br /> FIRST WATER LEVEL p <br /> FrreST a7 dT�4r�./!/v l•- i4 uJEc-G r�u rrP ) {�E,2�+/T• 7'HlS <br /> _ ❑ SOIL BORING g <br /> / S i4 (//o L..�4 TL o�✓ O F S�4.J ���'4�u/-•✓ C''O'L� /✓7y,�Eu.ECv�i`•l E.,/f <br /> •nom S E c-7-[ o,-- <br /> Recommendations 06 T-4 / rW E /.ee7- A <br /> DIA.OF CONDUCTOR CASING D <br /> /9 .3yvE /,�si74C1 .4no..J ��/ /�u6uST e26, /4910 f� <br /> p - / G , DIA.OF WELL CASING p <br /> LA-�K-[] t,9,c �r /T / S ATrAI � EV( . �jl/,E �Zff— l•e /7— SPECIFICATION R <br /> FE LC (S' # GROUT BRAND NAME E <br /> CONCRETE PEDESTAL BY DFVLLER:❑Y. ON. S <br /> S <br /> CABLE OTHER <br /> 1 SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS,AND RULES ANK <br /> Correction Must Be Made Before NO: •I CERTIFY THAT IN THE PERFORMANCE OF THE WOW FOR WHK;ttt <br /> CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIEJLj� <br /> Remarks: /E;444-4-00--. 7'7y C p K�L —�,�-?�14 G (�/LL iQES(GL7 '1PLOY PERSONS SUBJECT TO WORKMAN'S COMPENSATION LAWS Of <br /> //J C 144 f—C f) 4,1(Q coM DRAVA AT LOWER AREA PROVIDED.Date <br /> Fu�T�(E.� Fn1FD eGE�rEnJ-T i4C77O..J B f 7>tf/S /�<li/Bio v .�lG 3//./g,< <br /> Failure on your part to comply with this Notice will subject you to penalties prescribed by said <br /> LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR PP0POSED <br /> Ordinance. :XPANSION OF SEWAGE DISPOSAL SYBTEMS. <br /> LOCATION OF WELLS WITHIN FtAOlUB Of ONE HUNDRED FIFTY FT. <br /> Re 'ted u S /`/'¢/L- �� /�� )N THE PROPERTY OR ADJOINING PROPERTY. <br /> ERNEST M. FUJIMOTO, M.D., M.P.H. <br /> Acting Health Officer <br /> BY <br /> Registered Environmental Health Specialist <br /> PHS 158(1(1195) Za 4) Z/6$'- 0.3 4// <br /> Wit,t <br /> L T, <br /> IVVIRONMEl�1TAL HUM I'4 <br /> ci I\rl` <br /> .. __.. ..:. I <br /> DEPARTMENT USE ONLY <br /> Application Accepted By D Area <br /> Grout Impaction BY Date_ Pump Inepectlon ey tom—. pete_.Q II9/Y�J <br /> Destruction Impaction By <br /> Date <br /> Comment. <br /> ACCOUNTING ONLY: AID/ FAC# <br /> PE CODES FEE INFO AMOUNT REMITTED CHECK ASI/ RECEIVED BY DATE PFRMITISIRVICE REQUEST NUMBER INVOICE <br />