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%,.. LIQUID WASTE PERMIT <br /> ` SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH'bFII6iON <br /> are <br /> E.WEBER AVE 3"FLOOR,STOCKTON.CA 95202(209)46X-3420 <br /> ADDRESS 1i ! yd 3 a e (-1LE PERMIT EXAPNES J YEAR FROM DATE ISSUEDPARCEL LL SIZ`A 5 -IP <br /> L <br /> I. <br /> ITYZP � o A i ��BUILDING PERhUT N �/J U /] \ J <br /> tER NAME�T7 ADDRESST/4tJ`. <br /> TTVrLIP �! PHONE NUMBER( <br /> tlRACFOR b N t J✓`- ADD0.ESS� /� L b <br /> /Ky a <br /> 'TTY/LP PHONE NUMBER <br /> -7(17- ���V <br /> .1-GRAPHICAL INFORMATION: COORDINATES: X Y TOWNSHIP RANGE SECTION <br /> rY`` OF SEPTIC WORK: `INNSSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: <br /> IJEW INSTALLATION aESIDENCE NUMBER OF BEDROOMS: a <br /> ILREPAIR/ADDITION !!!❑ COMMERCIAL <br /> NUMBER OF EMPLOYEES: <br /> I DESTRUCTION ❑ OTHER <br /> J, ENGINEERED/ALTERNATIVE -11 <br /> '�RACFER OF SOIL TO DEPTH OF 3': PITISUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> L <br /> ] PERC TEST(S) HOW MANY/0 APPLICATION# 11 <br /> 'SEPTIC TANK TYPE(MFG l0-nC CAPACITYIZ..L O N OF COMPARTMENTS <br /> 3 GREASETRAP TYPE/MFG CAPACITY y #OFCOMPARTMENTS <br /> -PKEf)(PLANT DISTANCE TO NEAREST: WELL Ids I �" FOUNDATION��1 PROPERTYUNE bD F <br /> �bIFT STATION - SIZE TYPE OF PUMP SAN D OIL SEPARATOR(ENCLOSED SYSTEM) <br /> jLs�P / � ��, r <br /> LEACH LINE #OFLINES:�LENGTH OF LINES: DLaAna iorvuREEi: WELD /FOUNDATION �© PROPERTY WNEi4:/v r <br /> INFLITRATOR CHAMBERS: 1 <br /> FILTER BED WIDTH LENGTH DEPTH DLNTAXCe TONEAR&R: WELL FOUNDATION PROPERTY LINE <br /> MOUNDED WIDTH LENGTH_ DEPTH D14TANCETONEARLSF. WELL- FOUNDATION PROPERTY LINE- <br /> SUMPS WIDTH LENGTH DEPTH_ DWFAN'CETONEARPAT: WELL_ FOUNDATION PROPERTY LINE <br /> DISPOSAL PONDS WIDTH LENGTH 2 DEPTH o.. ETONUREXT: WELL FOUNDATION PROPERTY LINE'(_^^^^ <br /> SEEPAGE PITS #_9L DIAMEIER 3� DEPTH-2S E DIETANCETONEAREFT: WELL'�p4t FOUNDATION_L-b-I PROPERTY LINE_' <br /> I HEREBY CERTIFY TH T I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> . I U 4 H DVANCE NOT] SQUIRED FOR INSPECTIONS-PLEASE CALL(289)468-3433 <br /> ;IG NED: TITLE: DATE: �D Z <br /> Ar a <br /> 22 <br /> r <br /> re im ru Arco <br />