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1. SEWAGE: /_,.- <br /> Distance to Public Sewers: ���xz $-, Connection necessary: Yes Nd� <br /> Does existing septic system comply with San Joaquin County Development . Title #549 ? <br /> Yes No Unknown If no, explain: ,. d �- ►, <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes --- 'No Is well proper: Yes Nom <br /> State deficiency: ,ca�a -, 5 �� cr� , �-s r� � �� ,• <br /> Z-., <br /> Is well system a Public Water system? Yes Nov Is the permit current? Yes No - <br /> Does existing or proposed use make this well Public Water: Yes No Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No e-' Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> A.J. <br /> t <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> b. PREVIOUS OPERATION HISTORY: <br /> G tr:escAx . C <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> t <br />