Laserfiche WebLink
1. SEWAGE: NOTE: PULL ALL Ij,1MIT3 (Septic, Well, etc.) MAKE L...OIES FOR FILE , <br /> Distance to Public Sewers: Connection Necessary? E] Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes No <br /> Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> Z. WATER SUPPLY: <br /> Is Water supplied by Private Well ? E] Yes No Is well properly sealed and constructed ? Yes No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? [—] Yes 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? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-1 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 /> 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 /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />[06 06 Report#7201 <br /> August 01,2g06 <br />