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NOTE: PULL AL�'ERMITS (Septic, Well, etc.) MAK,,,JOPIES FOR PILE ' <br /> 1. SEWAGE: T <br /> Distance to Public Sewers: �1� Connection Necessary? El Yes vi No <br /> Does Existing Septic System comply with San 3oaquin County Development Title ? F-1 Yes ❑ No aunknown <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 sealed and constructed ? ErYes No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? F-] Yes EZ"No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? F-1 Yes No <br /> Is water/well sampling current? ❑ Yes n No <br /> Additional information or comments: <br /> I <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? ❑ Yes No Service Area No. : I <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY,MOSQUITO OR VECTOR CONTROL_ <br /> Describe potential Vector Control issues: i[//4 <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. 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 97201 November 06,2009 <br />