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r <br /> NOTE: PULL ALL LIMITS (Septic, Well, etc.) MAKE 1,,,31ES FOR FILE " <br /> 1. SEWAGE: '' // <br /> Distance to Public Sewers: NConnection Necessary? ❑ Yes D/No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? [ZYes ❑ No ❑ Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? Yes ❑ No Is well properly scaled and constructed ? Yes E] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes No Is Public Water Syst m Permit current? E] Yes No <br /> Does existing or proposed use make this a Public Water System ? El Yes dNo <br /> Is water/well sampling current? 7 Yes No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? dyes r—] No Service Area No. ; <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY,MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: / <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: �li467-�/� � <br /> Additional facilities required: <br /> G. PREVIOUS OPERAT/ION 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#7201 August 01,2006 <br />