Laserfiche WebLink
6. <br /> LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HE MSERVICES ENVIRONMENTAL HEALTH DIVISION P��17TIf� <br /> I <br /> 3"E WEBER AVE.3RD FLWR.STOCKTON,CA 952M (309)C N*O IJ <br /> PEMU MPIRES1 YEAR MOM DATE ISS <br /> JOBADDRESS /L/ <br /> CITY/LP fJ /J PARCEL5�9APN <br /> OWNEAN / / lJ! .P.l� <br /> crrcmP <br /> CONTRACTOR —ADDRESS <br /> ENONE <br /> GEOGRAPHICALINFORMATION:COORDIANTPS: X Y_TOWNSMP----PMOE_SECTION <br /> FERCTEST(S)( I NOW MANY "PLICATION <br /> TYPE OF SEPTIC WORK: ❑ NEWINSTALLATION REPAINADDITION E3 DESTRUCNON <br /> INSTALLATION WILL SERVE ❑RESIDENCE Ecco RICIAL OOTHER <br /> NUMBER Of LIVWOU m..-,LN'U/MBER OF BEDROOMS: NUMBER OF EMPLOYEES:_ <br /> CHARACTER OF 50LL DEPTH OF A DEPOF 3 FEFI:C//^'Y PIT5UMP 504 CHARAC[E0.: WATER TABID DEPTH_ <br /> OSEPOCTANIOGREASET P TYPF/MFO CAPACT NUMBEROFCOMPARTMENTS <br /> ❑PRO TREATMENT PLANT DISTANCE TO NE4REST: WE11 FOUNDATION PROPERTY LWB <br /> ❑LIPI'STATION SIZE TYPEOFFUMP SANDOLLSEPARATOR(ENCLOSEDSYSIFMI <br /> ILFACNWCZINE NUFIDERk LENGTH OFLMFS� 00 A INFILTRATOR CHAMBERS <br /> DISTANCETO NEAREST: WELL,1-00' FOUNDAnON <br /> *'2S' PROPERn TJIiE �6 <br /> O FILTER BEO WIDTH LENGTH DE T11 <br /> DISTANCETO NEAREST:WELL FOUNDATION: PROPERn LINE <br /> ❑MOUNDED MOTH LENGTH DEPTH <br /> DISTANCETONEAREST: WELL FOUNDATION MCJPERn ILVE <br /> _ ❑SEEPAGE PIIS WIDTH IENCIH DEPTH <br /> DISTANCETO NEAREST: WELL FOUNDATON PROFEEn ZINE <br /> ❑SUMP$ WIDTH IPNGTH DFPIII <br /> DISTANCETONE4RFST. WEII. FOUNDATON RtOP LINE <br /> ODISPOSALPONOS WIDTH LENGTH DEPTH <br /> DISTANCETONEAREST: WELL FOUNDATON P0.0PFRn LINE <br /> L IHERERV CERTI T I HAVE PREPARED THIS APPLICATION AND THE WORK WLLL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCES 1� AEDULATION90P$AN IOAQUIN COUNTY. ��O n <br /> SIGNED'T lA��C//�' �/ TITLE J ATE: / <br /> L <br /> 6. <br /> I <br /> 1 <br /> r <br /> 1 <br /> jr <br /> %�(/J/� POP DRPARTMENTIS80NLY <br /> ARIJCATIONAIX.YPIEDBT' • AM <br /> T.WRPR.OR SUI.@ MS <br /> MNALNSRLTIONSY: a <br /> Lo r w + r arc 6 0fe <br /> DECODE SC M10UNT N RPGEIV®BY DATE PFAMIDSERVICERWIIF.IT• SQPIYDM <br /> W!O RBMfT® ASN <br /> I * 5770 <br /> A <br />