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NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? ❑ Yes �io <br /> Does Existing Septic System comply with San Joaquin County Development Title ? ❑ Yes ❑ No JEJ �nknown <br /> If no,explain: _ <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? FA-Yrs-0 No Is well properly sealed and constructed ? �es No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes EJ—No . Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? F-] Yes No <br /> Is water/well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? Yes ❑ 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: T Z2� -_-- <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> ............ <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 47201 September 19,2006 <br />