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LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH D <br /> OL IVISION <br /> SE,WEBERAVE]"'FLOOR,SIOC%TON-CA 95JO31XAId -I) SEP <br /> 1 <br /> NOWREPUNbABL/F�.PF. MIT F.%PIRESI YF.ALj FROM DATE ISRUE_ D;..-� <br /> JOBADDRESSrG �J _�/LIII( JY APN�V� II, O' PARCELSIZE: <br /> jam, may.' Q p — 0106 805 <br /> [ITYI1IP �O�-I�/O� �} �� BUILDRIC PERMffA <br /> OWNER NAME� ADDRESS <br /> CRYfLIP PHONE NUMBER <br /> CONTRACTOR <br /> ciwmr _/1,✓'/ PHONE NUMBER 43/—/BY� <br /> GEOGRAPHICALINFORMATION: COORDINATES.X Y TOWMDUP_RANGE SECTION_ <br /> TYPEOFSEPTICWORK: INSTALLATION WILL SERVE: NUMBEROFLIVINGUNPTS: <br /> XNEWINSTALLATION xRESIDENCE NUMBEROPBEDROOMS: <br /> ❑ REPAIRIADOITION ❑ COMMERCIAL NUMBEROF EMPLOYEES: <br /> CI DESTRUCTION ❑ OTHER <br /> ❑ ENGINEEERWALTERNATIVE <br /> CHARACIEROFSOILTNINKFUROFIV: PFDSUMP SOIL CHARACTER: WATERTABLEDEPTH: <br /> ❑ PERCTEST(8) HOW MANY APPLICATIONII <br /> SEPTIC TANK TYPEIMFG lelFG CAPACITY -7 6a 0 OOFCOMPARTMENTS �1 <br /> ❑ GNEARETRAP TYPFIMFO CAPACITY BOFCOMPARTMENTR <br /> ❑ PKGT%PWM DISTANCETONP.BREAT: "LL WUNDATION PROPERTY LINE <br /> O LIFTSIATION SIZE TYPEOFMK SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> �Le6cx LINE ROF LINES: _LENGTH OFLNES:-6�Q DarAnnmxuRlSr: weLI.TO It rourmAnory 2-o'J- PROPERTY LINE SQI-f <br /> INFLITRATOR CHAMBERS: <br /> ❑ FILTER BED WIDTX_ LENGTH DEPM BISFAndmnEYtR: WELL_ FOUNDATIDN_ MROPEPTY LINE_ <br /> O MOUNDED WIDTH_ LENGTH_ OBPOI emAnaronEUM: WELL FOUNDATION_ PRMESWLINE <br /> ❑ SUMPS wI.TH� LENLTH DEPTH_ DIWUA 10NUPrET: WELL FOUNDATOM MOPERTY GNE <br /> y❑ DISPOSAL PONDS WITTIO LEND._ OFPEH_ AnumxPr.Pvm WELL_ FOUNDATION_ PROPERTY LINE_ _ <br /> .1/ � J <br /> SEEPAGE PRB R� DIAMETE0.�'/ OEPIH�IOBTAnDtroNAlIR1: WELL PTUNOATIOH� PROPERTY LINELS' <br /> I HEREBY CERTIFY THAT HAVE PREPARED THIS APPLICATION AND THE WORK WILL BEGONE IN ACCORDANCE V TTR SAN JOAQUIN COONTV ORDINANCES STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY <br /> ( INIMUMNHO ADV NICE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(909)16TdID <br /> SIGNED: TITLE: -/�� <br /> : <br /> I <br /> I _�...., <br /> 4 <br /> DEPARTMENT USE ONLY <br /> APPLICATOR ACCE BY: DATE ID AREA EMPLOYEE IOR D IOCANON_ <br /> INSPECTFDBY: p Tee- /0Z PERMITFlNAL-l(YFRDATE i'�07� MSFECIOR: <br /> COMMENTS' e77E7 <br /> vv <br /> RCDS' gL pM�iU� CHE[ .VX RE[�YVFB DATE PERMITSEAWERE EA N.I. SD'IICIDY <br /> 4211 111 6709' o <br /> REYBeoMLFo Igq <br /> 3 <br />