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E= NOTE. PULL AL ERMITS (Septic, Well, etc.) MAKL,.00PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: -� Connection Necessary? �es ❑ 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 /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? Yes No IS well properly sealed and constructed? es E3 No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system? ❑ Yes V7r No 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 /> 3. GARBAGE&REFUSE: <br /> Licensees scavenger pick-up? Yes 0 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 f BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATIONTORY: <br /> ���H,I!S� // ,�1r�l��y / / <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> 1~H 06 06 Report#7201 November 03,2009 <br />