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SU0004491 SSNL
Environmental Health - Public
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PA-0400268
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SU0004491 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:48 AM
Creation date
9/9/2019 11:04:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004491
PE
2626
FACILITY_NAME
PA-0400268
STREET_NUMBER
12098
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05811040
ENTERED_DATE
5/27/2004 12:00:00 AM
SITE_LOCATION
12098 N WEST LN
RECEIVED_DATE
5/25/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\W\WEST\12098\PA-0400268\SU0004491\NL STDY.PDF
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EHD - Public
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APPLICAT' -OR LIDUID WASTE PERMIT <br /> SAN JOAOUIN.,.,.NTY PUBLIC HEALTH SERVICES al <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,446 N.SAN JOAQUIN ST, STOCKTON,CA 962010388 <br /> 12091 46B 3420 <br /> NON-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> ICamPNM I.TripikaMl <br /> A19VCATp)N 19 NEPECI MAGE TO THE BM'JOApUM(AUNTY FOR A PFRMR TO CONSTRUCT AN--INIl THE WOW INUXIl Ep, <br /> JOAQUIN COUNTY TNM IMCArpN R Il IN CpMglflNr,Ewllx YAN <br /> pEVp,pp,YENT TIRE,CHA TEA 8-1110.]AND THE 6rMlpAgpB OF U,JOA MM,,RIBl1C NEALTN BEAVICE6,FNNIbNAEMAL NEALTII gWmx, <br /> X 1O m,Ew:R <br /> <m Lodi IDr E,gAcres+ <br /> T+ -.NAME_ Lloyd Yenokida ApO11EB6 P,O. BQX 856 Lodi, 95241 __K_476-9649 <br /> :a1T ,>R_ Morton Septic ACORE. 121 E. Churchill St,Stk. 444225 E,,,. 463-5343 <br /> -1 :ONTRAC'IOp <br /> INAOppEN UCY MIdB <br /> fY,�OF aFTC wORF: xEw STA T U`Lp <br /> ,y ROARIApglmll 13 ppTNCllpx 17 <br /> NO 6F➢TIC 6YETEM PERMRTEp x RJEIK 6EWEA 16 AVMLABIF MUNN 2.FEET OF WROINE, Fill TFRW 1 1 NEW UNITY <br /> - <br /> N <br /> AaM�xex/ <br /> M dLATN)N WILL tFRVE REBIOENLE 4? CDMMERCIK Q OTHER❑ <br /> 91OFIMNOVMT.: 1 NV.Y9I OF.EOIIOONi: 3 xVN6F OF WFLOY61: <br /> NARACTM OF SOIL TO A DEPTH OF a mm_sandyl oaDlgrleUMP 80,L CNAMCTER clay loam IN..TABIF pERN <br /> :EPTR*ANwI6A6E TRAP ®TYIEJMFO concrete P&L cAPAcm <br /> L292--q a-1 NO.coL,P,LpTMAR. 2 <br /> « ULTMENT PLAM❑ OUT...TO FiELIAl : WDy 70' POUNDATpN 10' FRDPFRTY UNE 100' <br /> LIT iTATON❑ WE TYPE OF PUMP 6AND OIL EEVA TOK IENCLpBED NBTIND <br /> F �f <br /> m..UNF M MO..LENGT..FUNEE 265' lines gST,Aµ•E TO NEMEST:WELL 1C)O +FpVNEAmN{29FTIOFEpTYM 00' <br /> 'LT.11. E7 MOTH LENGTH pF1TN OIGT N E TO FHAI.6T:WEl1 PoVNDATIOX�prplFRTy UNE <br /> p DEO 13 MDT. LFN(iTN OFPTN g6rANCETO MFAPEST:WDL FOUWATpN ` <br /> PROPFIfTV UNF 0 <br /> E pE FIT. ®OFRTN�SME 3 6„ NUMBEII_1_ggrAXCE TO NFMF6T:Wk]L�yL�'+FOUNDATION S 0' PROPfHry UK 10' +N� <br /> V^% ❑WmTN UENGTx OETT*L.gSTNICE TO NEAREer:mu FOUNMA N_ KJOY UNE <br /> IBPoFAL NII. 13 MET.- LFIIETN DERMA DISTANCE TO NEAREFT:WDL FOUNOATpN_.113TTY UNF I•' <br /> 41 <br /> SY CERTIfYTNAT I NAVE PIFPARFp TMB AFNCATpN.WD THAT TNF WO1K W1I 1 BF pJNE I1, COFE[ANCE WRN 6AN,gAWIN COUNrv..NANCE6 AND STATE LAW&IND WLFB <br /> EOVLA NOOFTHEB M W.Up ..,O.M ORUCMN AGE ,SSMNATURECENrI GTHFPoMD W:•ICE,r THATINTNEPEFfORMANCEOFTNEVpI RI U.0 <br /> N FAMR IB IfiSVEp, 6HA11 NOT FAIPLOV ANY pE116pH IN BUCN A M NEO A6 TO BECOME 6VBJECi TO wgN(MAN'6 COMFFN6ATNTN UNK OF CAMFOMIW. CONTFMTOR'6 N"E' pR <br /> JBEOHTflKTIHG 6MNATURE CERTI TME G:'1 CERTm T A IN THE IERfOPMANCE OF TXF WOq(fOp WNMN TNI6 HRMrt IS IB6UE0,1 SX,VL EMPLOY FFRBONS 6UyECTTO <br /> IOM(MAN'8 T WB OF FO T YL]I ApVANCF iOp ALL 11EO1MFD IN.IFOTONE COMRFfE DRAWINE SFIDW, Lr� <br /> ®" _ m11: Contractor DATE: 6-7-95 fA <br /> RDT FLAN IDMW TD SCNFI BCAII p y <br /> NAME6 OF HfPEET$OR MAp6 NFARE6T TO Ofl BDUNgHG TXE NbFEIRY, 1 A. LOCATION OF NOUBf 6EWAGE g6P0&LL SY6TFM Ofl RMPoBFD <br /> OUT <br /> MN[Of TXE PgpFERTI',WTTN gMFN810N6.WO NOpTN gpECTpN. EFFANBION OF 6EWAGE g6PoSK 6YE1EM6. <br /> IEH6pNFp DVTLINE6 ANp LOCATWNOF ALL UUSTYq y10 FM/Y)GEp EigIJCTVRE6 6. LOCATION OF WELLS WT111N MgV6 OF ONE NVNDPID FIFTY FT,ON <br /> I UpNO COVEI®AREAB SUCX A6 PATIO6,WYVEWAn,ANO W.W(6. TXE%WPERry Ofl AOJOINgG PF1OPp1TV. `� <br /> CFO �tC t2CS � <br /> T� <br /> S, <br /> L3 PAYMEN <br /> RECEIVED_ <br /> JUN 9.1995 <br /> SAN JOAOUIIN Wv NiY <br /> . PJ 3UO HEALTFLSERWICES <br /> ENVIRONMENTAL HEALTH DIVISr N <br /> FOR DETARTMFNT UFE ONLY /\ G <br /> Y .TIONACCEFTED0Y C DATE: AFEA <br /> R.Nr OR BUMPIN6FECTION BV p.TE / I FINAL INSPECTION BV - tics DATE 6 <br /> )RIONAL COMMENTS: <br /> MFOLNTI..ONLY: ALOE FACT <br /> -ODE FEE INFO VMT RFMITTFD ECIf/ A6H OEC FTY-SY DATE 6q/PMPYIT MLM.BI ...ILEI <br /> ���� �� I ) '�� <br />
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