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LIQUID WASTE PERMIT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br />104 E•. WEBER AVE 3" FLOOR, STOCKTON, CA 952D2 (209) 468•3420 <br />JOB ADDRF$S �– ' <br />'4 %ON -RE UND B ERMIT EXPPIRE��YEAR FROM DATE IN UM) �—s/9 <br />7 e r NNCC.�GG// 2-7/)-- C PARCEL SIZE: <br />CITYfLiP_ ,, f! 11,1i/�161 rpl , BUILDING PRRMIT M (J 3 C.✓ 1` 1 73Ip <br />OWNER NAME J<..AGI.iL��� Q_� / f� ` y V 1 1 `r f ADORES3,_ <br />CITYIZIP _ _ 1•IIONE NUMBER � /✓' , £ /�,�/jj/J��%// j� <br />CONTRACTOR £ �(TL � ADDRF.S3 <br />CITYIZIP _ PHONE NUMBERR <br />GEOGRAPHICAL INFORMATION: COORDINATES: x _ ._ Y TOWNSHIP RANGE_ SECTION <br />TYP EPTTC WORK: INS 'TION WILLSERVE: NUMBER OF LIVING UNITS: <br />NEW INSTALLATION .f'J RESIDENCE NUMBER OFREDROOMS: <br />(3 REPAIR/ADDITION ❑ COMMERCIAL <br />❑ DESTRUCTION ❑ OTHER NUMBER OF EMPLOYEES: <br />D ENGINEERED.ALTF.RNATIVR Lr1 <br />QO <br />CHARACTER OF SOIL TO DEPTH OrfPIT/SUMP SOIL. CHARACTER: WATER TABLE DEPTH: f- <br />❑ PERC TESTIS) HOW MANY APPLICATION # �1 <br />��- <br />SF.PTIC TANK TY CAPACITY � (pC'.�/ # OF COMPARTMENTS <br />� <br />❑ GREASE TRAP TYPF,`MFG _ CAPACITY #OFCOMPARTMENTS i <br />❑ PKGTx PLANT DISTANCE TO NEAREST: WEL;/ r' /, -I- FOUNDATION -5 , PROPERTY LINEA � <br />❑ LIFr STATION SIZE TYPEOFPUAIP SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />IJ( LEACH UNE I+OF LINES. LENGTH OF LINTS: p6 ANCYTONLUUMT: WELL��� '�' FOUNDATION %f� PROPERTY I.iIr: <br />L INFLITRATOR CHAMBERS: l " �- <br />❑ <br />FILTER RED <br />WIDTH <br />LENGTH <br />DEPTH <br />❑ <br />MOUNDED <br />WIDTH <br />LENGTH <br />DEPTH - <br />13 <br />skimps <br />WIDTH <br />LENGTH_ _ <br />DEPTH__ <br />PONDS <br />WIDTH <br />LENGTH <br />MPTH <br />t�❑/�?DISPOSAL <br />PITS <br />S <br />DIAME1ER.ILf <br />t / <br />DIATATMt TON4ARL'ST: <br />--CE TONEAR£AT: <br />pEEPACE <br />PROPF.'R'IY LIME` <br />r <br />PROPERTY LINE <br />DEPTH�J <br />DISTANCETONEARGST: <br />WELL_ FOUNDATION <br />PROPERTY LINE <br />DATN ETONIIARF_W. <br />WELL NJUNDATION <br />PROPERTY LINE <br />DISTANCE TD I'IRARFRT: <br />WE:LI. FOUNDATION <br />PROPERTY LINE <br />DIATATMt TON4ARL'ST: <br />--CE TONEAR£AT: <br />WEI.1. FOUNDATION _ <br />1 <br />WELLL5b } FOUNDATION 16I <br />PROPF.'R'IY LIME` <br />r <br />PROPERTY LINE <br />1 HEREBY CERTIFYTHAT I HAVE PREPARED THIS APPLICATION ANDTHE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE. LAWS <br />AND RULES AND REGULATIONS OP SAN JOAQUIN COUNTY. <br />[MUM HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS- ►LEASE CALL(209)468-3423 <br />LGNEU: TITLE: DATE: <br />APPLICATION ACCEPTED HY'_ }A/L� y1T1�a.J __DATTh:--jL— 3 AREA E+} y EMPLOYEE IDk DISTRICT_ LOCATION <br />INSPECTED HfY--_'e .[ •�/},//� lG+L. DATE: <br />r�4*�3� .PF.RMI'f FINALS DATE: INSPE[TUR: <br />COMMENTS -Ifs �(�/DJ •�Tlls2 'TIS r(�,—�fn /,[� Aw.Y ny /�'t��,��,�. (rJ�,�*��}Ip�� <br />( PE CGDE ..'.INFO AMOUNT C CKYrC SH RLCER'ED DATE PFRMD.SERYICEREOM- 1INVOICE SEPTIC we <br />BY <br />4-1131 1032�c s�8o /�1Q� SR X34111 — <br />