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> * <br />1 <br />AH.Crty <br />job AddroM <br />Phono’r 1/4.- Cyd>/ Add<«»»Own*.'* Homo <br />1(7 <br />NEW INSTALLATION I 1 REPAIfVADDtTION <br />L-Cooocrty iWO- <br />ZC•7100 Foundwo”Wo«Dtoimco to noMMt: <br />FoundotionW«« <br />■Zt*' <br />OM: THU: SigMdX. <br />Arao <br />AopNcatMn AeeooM by AOmX>ll <br />PERMIT NOOATSAMOUNT RIMlTTIOAMOUNT OUt <br />F <br />I <br />Addmonal CommonW: <br />Applicant - Batura all ecpiaa tot <br />OECEIVEO AV <br />mA <br /> <br /> <br />o <br />No. 4 Lonflth ol hnao <br />Diotonca to naaraat: <br />VISION <br />(209)468-3420 <br />Total Innnth/siM___ <br /> ProporTy Linaleachin" line <br />FILTER BEU <br />FOR OIRARTMINT Utt ONLY <br />l-Data <br />Watar tabla depth. <br /> No. Contpatwnonw <br />Method of Oiepooal <br />Property Line------**** ■. <br />0 <br />0 <br />. im n w (MV »'Oi <br />iw :« M <br />Oia of Wan Caaing <br />Specificatione— <br />Typo of Grout-------- <br />InataMtion w« aarvo: <br />Number of Smog unite:---------- <br />Character of eoi to a depth of 3 fool: <br />SEPTIC TANK O Type/Mfg <br />PKG. TREATMENT PLT. O <br />I <br />I fe <br />i <br />I <br />■ <br />FEE <br />INFO <br />PROBLEM AREA <br /> Monteca <br />O Tracy <br />IT Delta <br />I I Eeatorn <br />INTENDED use <br />o Induatnel <br />( I Oomeat</Private <br />Cl Public <br />I I Irngauon <br />Repair WOrt Done <br />Wee Deetruction <br />Liccnte No._________________ <br />DESTRUCTION 0 Out <br />OTHER <br /> DISPOSAL FLO PROP. LINE ---------- <br />OTHER WELL P1TS/SUMPS —— <br />CONSTRUCTION SPECIFICATIONS <br />0>a of Wen Eacavetion---------------------- <br />Typo ol Caaing---------—————— <br />Depth e* Grout Seal ----------------------- <br />Surface Seel >..iUHed hy------------------- <br />State Wort Done------- <br />Sealing Material 4 Depth ____—, <br />Filler Material 4 Depth <br />DESTRUCTION I I INo aeptic ayatem permuted >1 puble: ae-ver o <br />avaaabie within JOO feet. I <br /> TUtL'/cY,Raeidonco Commercial------ Other <br />Number of bedrooma---------------- <br />C.LA<f __ <br />Att:______ _ <br />Lot Slae/Acreage _i/j£ae^£. <br />Contractor , <br />TVPE OF WELL/PUMP- <br />5 I <br /> <br />SEEPAGE RTS X D«Mh —--------- <br />SUMPS LI Otelanco to neereat <br />DISPOSAL PONDS ■ jD,auin riT j"n- ordmancea. alate lawa. and <br />IM«bycwWy th.t llwv.prtPMMthM NrpKMionM.dtM.th. wori. be don. m accordane. mth Sm. JoKhnn <br />Mon lawa of CaMomia." <br />Ph or Grout inepeetlon by ---------------- <br />Ct tte <br />>. _phone ViL^~~397/ — <br />of Service Veil O <br />Monitoring Veil Q <br />___LtC*________ ______ NumbM —---------- <br />We« f C<? r Foundation -iCl.------ Property Lino <br />Data . Fmal Inepection by <br />Mr^v^rvtert <br />1601 1« iawlte® Av«.o P 0 Boa 2009. BtockU** CA 9520 <br />t# r 0 Mw <br />APPLICATION FOR PERMIT <br />SAN JOAQUIN COUNTY PUBLIC HE*’.TH SERVICES <br />ENVIRONMENTAL UEALT’’ <br />1601 E. HAZELTON AVE., PI '• aai <br />I' O BOX 2009, STOCKTON, CA 95201 <br />PERMIT EXPIRES 1 YEAR FROM DATE ISSUH1 <br />(Complete in Triplicate) <br />Joaquin County Public Hod th Sor^leo. <br />ISwEti- <br />■. H Addreia / Af. arta- <br />------------------^£W WELL WELL REPLACEMENT 0 <br />PUMP INSTALLATION □ SYSTEM REPAIR 0 <br />DISTANCE TO NEAREST: SEPTIC TANK -------------------- SEWER LINES --------- <br />DISTANCE^------------------FOUNDATION agriculture well <br />TYPE OF WELL <br /> Open Bottom <br />O Gravel Pack <br />0 Othw <br />_ Appro*. Depth <br />Type o» Pump ------- <br />Well Diemetw ------- <br />Depth ... <br />TYPE OF SEPTIC WORK;