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LIQUID WASTE PERMIT
<br /> SANIOAOI HN COUNTY PWA•IC HEALTH SERVICtS ENVIRONMENTAL HEALTII UJVISKNC
<br /> 304 E.WEB@R AVR 3"FLOOR,STOCKTON•CA OSMA Q09)6".3430
<br /> JJ S NOV-REFIIV 8LE PERMIT EXPIRES 1 YEAR FROM DATESI8gVED
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<br /> INFORMATION:COORDINATt4:X Y --70WNSRIP RANOE SECTION
<br /> TYP�E'1O�F SEPTIC WORK: INSTALLATION WILI.SERVE: NUNIBEROF LIVINC UNITS:
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<br /> KEPAIR/ADDITION NUhIBER OF BEDKCHMiS:
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<br /> NUMBER OF EMPLOYEES:
<br /> O DESTRUCTION OTHER
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<br /> CHARACTER OF SOIL TO DEPTH OF 3>: PFTYSUMP 4Y3f►.CHARACTER: __ WATER TABLE DEPTH-.
<br /> GI PSRC TEST(SI IIOW MANY_--- APPLICATION*
<br /> 1 UT1 W TANK TYPF'MFYi_ 4O COMPARTMENTS__
<br /> CApACTiY
<br /> J (LRCASETILke TYPE"MFG CAPACITY 90PC0MPARTMEYTS__ ,.
<br /> O P%GTX PLANT DISTAFICE TO NE.ARFBT: WEIA FOLNOATIGN PROPERTY L.IRF.
<br /> ,U LUTs-rATwN SIZG_,. .. .. .^ TYPO OF rou� J../.. SAND OIL SF.PARA (ENCLOSED SYSTEM)__-
<br /> W LEACH LIVE ft OF I.INES: LENUl"It OF 1ANE`S Ae %lKTkNCE TO NIARUT: WELL L/,17�• FOUNDA•ITOVL iM PROPERTY LINE, �,Iv
<br /> INFIJTRATORR CHAMBERS: //--
<br /> (7 FII TER DED WIDTH-_ • I LENGTH_. DCP'Tli MI.KV TDAYARgT: WELL_-_ IOONUAYION__ PROPERTY LING
<br /> ❑ V701'lYDED Wm'CN LRN(1TN_.,--_ UPJ'1M M.-CIF YO W.-.11 WEI,t_._..._ FOU.VOATION ,_ PR0PY.R'rY1JNr. ,
<br /> _I SI1MP5 WIDTH LFVf T11UFATH aw Mt Tr N(ARSbT: WRUL_ FOUNDATU.4 PROPE•R'rYUNr-
<br /> Ll DISII%AAL PONDS WIDTH LCNOTIiDUTII 1361A Cl TOSEAACM WELL FOUNDATION PROPERTY LINC .{
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<br /> 111KRERY CLRTIEY THAT I HAVE PREPARED THIS APPLICATION AND TILE WORK WILL BE DON F.IN ACCORDANCE WITH SAV JOAQVIN f'OUNTY 011DINANCF4 NTA I F.LA WS '
<br /> AID RIA,"AND RF:CU:aT10�'S OF'SM1V JUAOLIK COC'NT4'. (O
<br /> MINIMU. HOCA ADVANC NOTICE REQUIRED FOR INSPECTH)N5-PLEASE CALL(209)469-342J N1
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