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NOTE: PULL AL MITS (Septic, Well, etc.) MAKE CIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: L 24C ' Connection Necessary ? a Yes ❑ No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes F-1 NoUai,44 <br /> If no,explain: <br /> wn <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? ❑ Yes Ef No Is well properly sealed and constructed ? F-1 Yes F-� No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? 0 Yes 0 No Is Public Water System Permit current ? F] Yes F-1 No <br /> Does existing or proposed use make this a Public Water System ? f-I Yes No <br /> Is water/well sampling current? F-1 Yes F-1 No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? dYes F-1 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: ALJ <br /> 14 <br /> TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: LjA - AeJ <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: ILA <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: LL1P/-,�=��'S� //�.�/J �c,7/-�-t. <br /> EH 06 06 Report 47201 Febm84'15,2006 <br />