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- 7 <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes o <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unknown If no, explain: <br /> De ibe septic installation to be installed: 0"_0 <br /> 2. WATER SUPPLY: <br /> Is water supplied by private we e- No Is well proper: Yes�/No <br /> State deficiency: <br /> Is.well system a Public Water system? Yes No Is.the permit current? Yes No <br /> Does existing or proposed use make this well Public Water: Yes No Is water/well p: <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No Service oarN'o Other proposed <br /> disposal method: <br /> Potential problems): <br /> 4n <br /> 4. FLY MOSQUITO OR VECTOR POTENTIAL- <br /> State possible vector potential and necessa ontroi: <br /> p <br /> 5. TOILETBATH FACILITIE . <br /> Number and locations exist' g: Additional <br /> facilities needed: ti <br /> f' <br /> 6. PREVIOUS O RATIONMISTOR <br /> 7. GENERAL SANITATION: v <br /> State any problems not previously noted: r <br /> A)O or <br /> S. POPULATION DENSITY: <br /> Approximate number of people ,Der s uargmile: <br />