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NOTE. PULL AAL-PERMITS (Septic, Well, etc.) MAKMOPIES FOR FILE <br /> 1. SEWACF: <br /> Distance to Public Setiyers: Connection Necessary ? Ej Yes F No <br /> Does Existing Septic System comply-with San,Joaquin County Development Title? Yes F 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 sealed and constructed ? 7 Yes F—] No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? F-71. Yes ❑ No Is Public Water System Permit current? ❑ Yes ❑ No <br /> Does existing or proposed use make this a Public Water System ? ❑ Yes F—] No <br /> Is water/ Skil sampling current ? ❑ Yes ❑ No <br /> Additional information or comments: ' <br /> 3. ('ARBAGE & REFUSE: <br /> Licensed scavenger pick-up? El... 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; <br /> a. 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: '1 <br /> 1..;0(,lir,Itennrt 1.7,(11 <br />