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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: AX-f Connection Necessary ? ❑ Yes [a'No <br /> Does Existing Septic System comply with San Joaquin County Development Title? 0 Yes E] No Q'Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? dYes E] No Is well properly sealed and constructed ? 0' Yes F-1 No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? E Yes [Z No Is Public Water System Permit current ? Yes No <br /> Does existing or proposed use make this a Public Water System ? ❑ Yes No <br /> Is water/well sampling current ? F-1 Yes No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? F7Yes �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: 4- G4'Ci <br /> ems+' <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s) of existing facilities: 1r 6 ti Kj-1 <br /> Additional facilities required: E- <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: A1111�. <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: `t'GP.I�.I '�'✓5��� <br /> EH 06 06 Report#7201 January 17.2007 <br />