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Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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2900 - Site Mitigation Program
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PR0545715
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Entry Properties
Last modified
11/19/2024 3:48:23 PM
Creation date
6/12/2020 11:17:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0545715
PE
2950
FACILITY_ID
FA0025893
FACILITY_NAME
PROPOSED SHELL
STREET_NUMBER
0
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
0 HWY 12
QC Status
Approved
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LSauers
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EHD - Public
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Now— =-00 P" s 1 0 8 1 2 MV I L.NALJG DRILLING .,•�s�-.�� 1 # <br /> ., # Vim• 1 'y�I TMu iT 9025 S DICI-TA CNV IRQIJMISN"1`NL •t_+, <br /> '.APPUCAT10N FOR PERMIT 'Alm }: <br /> SAN J`?AC411N LOCAL HEALTH D181'AT.-Ig'Z,, { ,+ <br /> v 1601 E. HAZE16TON AVE.. STOCKTON. <br /> TNaphOM 1208! 466r6781 Hdv 2 `1990 <br /> PERMIT WIRES 4 YEAR FROM OATS 4SAVMNMENTAL HEALTH <br /> . IComplals in Triplicate) PERMIT/SERVICES ' <br /> Appt•Crdon is nV401,W400 to ule ion JoPavin Leal WAM Diss iet for/pumN to e0nettum anala nstau the wad nein Oeec„bee T4s 400llceWn is <br /> Made in 4000.6fte with San JOMhAft COunIV Drdlnenoe No.bd one www a No. 111113 la 4eal.yen0 and the RWee Ina 114SrUt.0-11 nt<ne S”JOIgwn <br /> Local Hearsh&sillet . <br /> J"A4000 ��,� ['.[ P, a:Q Qnr601 81N <br /> y.//14{� t+eJ4P 4G <br /> t OvrtlKa Nanl. �'`' ail <br /> anon.( �•!j.i'� <br /> �Vl►w�' 1+.47 C.*4 9 us <br /> Cohu9elor�ib�JL911f7_/.�.IIILllL1�� Il[39 �Qwx1GA/; 1.J L�eenle No.� �' 1 Footle � <br /> nw--•u .ri rrr� <br /> TYPfr WELD MP; NQnf wE'L G] wE66 71iPlAciMtrlT C DiSTf1UCTtON 0 f <br /> PUMPIRSTALL#iTION 0 SVSTIM R6PAtR 0 OTmlR ipd Set <br /> DISTANCE TO NEAREST: SEPTIC TANK SEW94 LINES 0IfP09AL PLO. PROP, LINE <br /> PQIJNDATtON AORICULTUAE WILL OTHIR WELL PITS/SUMPS 1 <br /> INTEfNO£D USE TYPE Or VELI PROiLEM ARIA CONSTRUCTION SPSC04CATIONS <br /> + C3 1lldueut l O Open"mm O Mahuts Dir.of 0d E+ewolpn Di+.tl1tV08l4j" \ ; <br /> !` ❑DomaucrPnwsa a QrO4 hitt O Twy Typo d C•litlg ~/A Spliifiuwm � ��' 3 I <br /> F mPublic n o" n ow Depth of Gtwl Soar 1"4,x YO' Two of Grad 1�TJ' <br /> I I Irrpal." Amon.Dram 1 1 Comm Swisce Sm Inauaw OV r <br /> Pop"war Doty ;] Typo of PwelP H.►. $tete won Done J <br /> tmil IY.••. <br /> WON Datarca" C3 wM Dlllftotar 5"fifq Met"lop 90.1 J <br /> Cowl Aoof IMatol111 1500.SCI �r <br /> TYPiiS W.WORrt: Nil.,INSTALLATION 17t REPAIAIADOMON:! DESTRUCT ION I I INO ae0 evstem moulted.I pwwre Mad is <br /> avti we wit"100 feel.l <br /> i Inewauew w.Y Serve: Areldelcr Comrtlerclel— 011th <br /> i Numbe at owing Mote:— NwnDe e1 beeteenle <br /> C}slgetr eI Ino to a doplh rf 3 fow Wotsr Isulf depth— -• <br /> I SEPTIC TANK O Tno@IIMlg Capwty No.Cw"Rtnenu <br /> PKQ.TREATMENT PLT.0 Method of 0400" i <br /> olotana to nswon: Wall +asi ,. t'PDwleal.on Ptottenr Uri, <br /> 1 - k <br /> LEACHING LIN( 0 No.i Length of 6RO Towl IengLhiuce <br /> FIVER AFut <br /> D 0 Osea Ie neelaN:. Was Pq.naatwn Proputt Lens <br /> € SEEPAGE PIT$ I Depth <br /> SUMPS 0 Dietllncr ro nearest: Was FvunOltwn NODuttt Line —� <br /> {{ DISPOSAL PONDS L3 <br /> J 1 htteby corto IMI I naw prePated this 60011111410,9011 end Out Me work wee De 00ne in eCCOtdSnN will+San.1ca tin Cpwnry ortin.uCa1 Hate 16*16 ON <br /> 1i wee Ina tegutauone of tnr San J0941jin LOCM Heallh DAlrat, <br /> come own«Of 11C.naed Igew'11 olgnslur.t.rtifw IM louowuq:•1 Drrtth toot m Ills pe femanee of the work for wtwh this oet-ryl a..+wd.1 Shea not <br /> I etnpi)y enlr person T wen mualer i1O 90 0000nt.Mtb*t to wWuneh•S cm"nutton Laws of C1610rnia.'•Lontr6clat•s hiring of wD COtnttaCting aghetuN <br /> certifies the 1000wing:••I tertily"I In tha prtlormarlCa o1 the*wk for wracn th:a De+mtt+s+/sWe.1 aA.ir MnplOV 011.!41118 IubAct W wOt►marl f COrtlpMla- <br /> tion tlw/Of C.ehlOtme.•' . <br /> The sp~t must 644► W t mood w.,4pAc <br /> D <br /> 4olla.Complete Otevring an ovale We. . <br /> �� (✓ IY rtw: Otto: <br /> y DEPA TMENT.U9IONLY <br /> i I-gptkstica Acuptea <br /> Flt a MIN,IrApectwn by Dlu.�....�� f incl Irtfpleuon by 4 '" 0eta 1 <br /> f� <br /> Addloonu Common: w <br /> I O Stk 40-VBI C1 Leu 16!•3411 IS Manteca 11123.7101 C TreO, 6!6.03113 <br /> / Appkant.Aetufn W cooler to.filwoon H►alth PrrtrJUiervice,11601 i.HISN1On Avg.. P.O. Sox 2009.Sa..CA 9520 . <br /> I <br />
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