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NOTE: PULL ALERMITS (Septic, Well, etc.) MAKi�OPIES FOR FILE <br /> 1. SEWAGE: .,... <br /> Distance to Public Sewers: Connection Necessary? F—] Yes .l No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes No Unknown <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> a <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? Yes ❑ No Is well properly sealed and constructed ?, Yes No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? ❑ Yes Lj--fo 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 ❑ No <br /> Additional information or comments: <br /> It <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? Q—Yes F_� 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 I BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> b. PREVIOUS OPERATION HISTORY: /f i <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: �� <br /> EH 06 06 Report#7201 May 06,2009 <br />