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J J <br /> LIQUIr WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBISERVICES ENVIRONMENTAL HEALTH DIVISI4)N4 HR 1 <br /> INE.WEBER AVE..�9 STOCKTON.CA 952113 (309)465.0930 lC <br /> NON-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED REC fJ-STEP <br /> JOB ADDRESS 230ZG '59Wp LaS 9-D, P(D i ALL <br /> K <br /> CITYMIP FA Lpo /✓✓ /SZZU PARCEL SIZF/APN 13-�� <br /> OWNER NAMEwa1'1� ADDRESS Zb� N SY/ Le <br /> CGY211' AClJMPJ / .15zQZO PHONE <br /> CONTRACTOR 'D'nnI U.(XJ Mq}W`�l,-{ ADDRESS F-e- n,� Zloo <br /> CITY2IP l�"QI -/.JM( PHONE `�/? � 16613 L( <br /> GEOGRAPHICALINFORMATION:COORDIANTES: X Y TOWNSHIP�RANGE 6SECTION T <br /> PERCTEST(S)0 HOW MANY APPLICATION.: FA -OZ' SOI <br /> K: <br /> TYPEOFSEFDCWOR ❑ NEWINSTALLATION ❑ REPAIWADDITION ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE ❑RESIDENCE 000MMERICIAL 13 OTHER <br /> NUMBER OFLIVING UNITS:_ NUMBER OF BEDROOMS:_ NUMBER OF EMPLOYEES:_ <br /> CHARACTER OF SOIL TO A DEPTH OF I FEET: PTFAUMPSOILCHARAC. : WATERTABIEDEPTH_ .. <br /> OSEFOCTANXIGREASETRAP TYPE/MF'G CAPACITY NUMBER OF COMPARTMENTS <br /> ❑PKGTREATMENTPIANT DISTANCETONEAREST: WELL_ FOUNDATION PROPERTY LINE C, <br /> 13 UFT STATION SIZE TYPEOFPUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> OLEACHINGLINE NUMBER@LENGTHOFLINES I INFILTRATORCHAMBPRS <br /> DISTANCETONEAREST: WELL FOUNDATION PROPERTY LINE <br /> El FILTER BED WIDTH LENGTH DEPTH <br /> DISTANCETO NEAREST:WELL FOUNDATION: PROPERTY LINE <br /> E3 MOUNDED WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> OSEEPAGEPITS WIDTH LENGTH DEPTH S <br /> DISTANCETONEAREST: WELL FOUNDATION PROPERTYLINE ` <br /> T <br /> ❑SUMPS' WIDTH LENGTH DEPTH <br /> DISTANCETONEARESI': WELL FOUNDATION PROPERTY LINE <br /> ❑DISPOSALPONDS WIDTH LENGTH DEPTH <br /> DISTANCF.TONHAREST: WELL MUNDATION PROPRRTYLINI: <br /> I DERERY CERTIFY THAT I HAVE PRKPAREII PLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCES,SI" AWS.ANDRUL REGULATIONS OFSAN JOAQUIN COUNTY. ,J <br /> (/ J7 L dJ�FDAM <br /> tiIGNEU: -TITLE: <br /> > -42k / <br /> / w / <br /> ca— <br /> i <br /> iw <br /> L M _ <br /> IULMM <br /> N JOA,)U1 4(;,)ON <br /> NSA 1nil nl 1111 Hn OSI II+ <br /> LIZc A.6 <br /> .. //�, FORBEPAPTMENf LISEONLY L <br /> A£IBN ACC6FTFD BY' DATE: I <br /> TANK.PIIJ.OR SUMP.ly ' BY: DAT- <br /> ONALIFSPFLHON BY: <br /> PBCODI: SC wMWM 1!('K PFLErvID BY DATE PERMR/]Y.0.VICk RlWPST• SFPIKRM <br /> INFO P NTITF.D <br /> cv-21-5(v <br />