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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE 104PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: L 4.e�' Connection Necessary? [Z Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title? 0 Yes No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: �Ci_sZj vb � Q �y TZ��y� <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? ❑ Yes E3"No Is well properly scaled and constructed ? [_—] Yes 0 No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? 0 Yes F� No Is Public Water System Permit current? Ej Yes E) No <br /> Does existing or proposed use make this a Public Water System ? F] 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? 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: ALA) <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 /> T'1 <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: �1 <br /> EH 06 06 Report 47201 <br /> April 11,2007 <br />