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SR0083128_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0083128_SSNL
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Last modified
2/4/2022 8:08:03 AM
Creation date
2/19/2021 9:16:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083128
PE
2602
FACILITY_NAME
MANTECA UNIFIED SCHOOL DISTRICT
STREET_NUMBER
7350
Direction
S
STREET_NAME
ELM
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95336
APN
19311013
ENTERED_DATE
1/8/2021 12:00:00 AM
SITE_LOCATION
7350 S ELM ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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L- Gas371111t `' AYIQB 11 1 r PjI"WVn -tea � o <br /> OWNER NAME Manteca Unted School District-Contact.Mike Lehr.ConsbudlorVEnerpy Terhnlwn _ PHONE 209 858 0855 __-- <br /> OWNER ADDRESS 2271 W Louise Avenue(Malting P.O.Box 32) CRY/STATEZP Mentece,CA 95337 N <br /> A <br /> CONTRACTOR Condor Earth-Contact:Ron Skaggs,CA PE$44588/GE=95 PHONE 208-WI-2480 M <br /> A <br /> CONTRACTOR ADDRESS 188 Frank West Circle.Sulo I CRY/STATEIZW Stockton.CA 95208 C� <br /> y <br /> LICENSE ❑]C42 ❑1C-38 OTHER GE NUMBER 2295 EXPIRATION DATE 03r30R021 <br /> -n <br /> WATER TABLE DEPTH: it GEOGRAPHICAL INFORMATION: Coordinates X Y 7 <br /> n <br /> ID PERC TEST #2 BUILDING PERMIT# LAND USE APPLICATION At n <br /> TYPE OF WORK: - NEW INSTALLATION - REPAWAOomoN X ENGINEER DESIGNED/ALTERNATIVE <br /> - REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM - DESTRUCTION <br /> INSTALLATION WILL SERVE: O RESIDENCE ❑ COMMERCIAL EI OTHER 9dnd > <br /> a <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: A <br /> LlSEPTICTANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS_____ APA1'll�f�Nr <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS KFCE/VE <br /> DISTANCE TO NEAREST: WELL it FOUNDATION it PROPERTY LINE <br /> 0 LIFT BTATION SIZE TYPE OF PUMP O PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> -- ----- - - _ AY 3 p 2019 <br /> 0 LEACHUNES II LEACHING CHAMBERS #OFUNES LENGTH OFONES f �OAQU11V <br /> DISTANCE TO NEAREST WELL ft FOUNDATON—,_— _ it PROPERTY LME 7�DEP ENj�T�q�TM <br /> ❑ FILTER BED Warm ft LENGTH ft DEPTH ft �"•rENT <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH it LENGTH _ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELLR FOUNDATION it PROPERTY LINE it <br /> ❑ DISPOSAL PONDS WIOTH R LENGTH R DEPTH it <br /> DISTANCE TO NEAREST WELL R FOUNDATION it PROPERTY LINE R <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH <br /> DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE R <br /> I HEREBY CERTI THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE W ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> INSPECTIONS-�fnl 111. NOTICE REQUIRED FOR 0 <br /> SIGNED PE IM58e I OE/2285 TRLF Vise PreslderH,EngineeArq Ss/vices DATE 05r2W19 <br /> R TMENTU O <br /> Application Accepted By DateArea Employee IDS <br /> Final Inspection ByDSU ❑ SPEP IT-Approved by <br /> Character of Soil to Depth of 3 Ft: PH/Sump Soil Character. <br /> COMMENTS <br />
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