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Environmental Health Department <br />Example: <br />Coaulrc Wbeal.<cfts«nllk, toy, nahuii <br />O Fit+75%/5 v4 <br />6. Disposal of Waste: <br />Please check what type of treatment is used to dispose of waste <br />H Putic Sower Service Prrvato Septic System <br />Ingrtdknn luKbcdtkuj (Whew tk« u»Ktn. mtircd uno. liiMiimx. <br />moooflitwK. nl*41trtin m»1 I<,4k ik>1). tutt« luiilk Mia d»«cinr <1<k <br />(»ixcir. cbccolx»e Isjikii. cocoa hirtc: bullcrfol (mil) wafaml*. uizai egp, <br />uh artificial VKxHacxlxTKt bnlu^wxki <br />mtnoevea at septc system fatureof pumangprtwm, you amrequtredio nonry san Joaquin county environmental Heaitn Department <br />tnmedately <br />M.VDE l.X A HOME KJTCUE5 <br />FcntiU*: JIMS <br />tvuerf hi <«sntr. ( »tnli aamc <br />CKxolalc Chip CoAiea With Wnlimli <br />Sally Daka <br />123 C«Upc FcoJ Laue <br />AxuuLck.CAWXXX <br />SAN JOAQUIN <br />COUNTY <br />Note rortne tssu«J m Courty - Menfffy trie /urtsaaon (efty.county) wnere you are oUainlng asprcvaL <br />ij <br />7. Water Source: <br />Pease Identify the walnt source to he used in Cottage Food Facility (check one box) <br />63 Name ol Public Water System or Community Sorvicos District R^xx- Water System <br /> Private Waler Supply". Identity the soibco (well, spring, surface, otc) <br />Private Water Supply. Initial Water Ojality Results <br />Clteck boxes below if initial water testing has been completed <br />All lusting must be done at a Slate Certified Laboratory. Bthcr attach lob rociits or provide namo cl lab, date & <br />results in space provided next Io type ol test <br />TTesttng frequeixiy to« tiar&ienl Non-Comrnunrty Waler Systems after initial tostinq) <br /> Uactonological Tost (quartorly*) <br /> Nilrato Tost (yoarly") <br /> Nitnto Tost (ovory 3 years") <br />••AAMmni ritannaian rruy be leered i kxxi c pTrytrnl hum a l»»ne —<>> a uarjlr Uxxh w*f' lutal jirafcaon <br />8. Food Processor Course: Initial if you agree to abide by the following: <br />Within 3 months of being approved to oporaio by liio Envr or menial Huaitli Department, ploaso provxje proof <br />ol comptobon ol the California Food HanrSor course in lieu ol the CaMomia Dopanmorit ol Pubic Health <br />(CO PH) food processor coir so