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NOTE. PULL AL= ERMITS (Septic, Well, etc.) MAKE OPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? El Yes F-1 No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes ❑ No ti� a <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? ❑ Yes [a No Is well properly sealed and constructed ? Yes ❑ No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes M No Is Public Water System Permit current? Yes F_� No <br /> Does existing or proposed use make this a Public Water System? ❑ Yes Ej No <br /> Is water/well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? I vj Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FL_Y:_MOSQUITO OR.VECTOR CONTROL: <br /> Describe potential Vector ..o ._.ol is <br /> ' Control issues: <br /> p <br /> 5. TOILET 1 BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 5. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted __- <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Report 47201 Page 2 lune 21,2004 <br />