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SEWAGE: <br />Distance to Public Sewers: A4 <br />Does existing septic <br />Yes No <br />system comply with San <br />Connection necessary: Yes No <br />Joaquin County Development Title #544 ? <br />Unknown ✓ If no, explain: <br />Describe septic installation to be installed: Vl* <br />2. WATER SUPPLY: <br />Is water supplied by private well: Yes ✓ 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 <br />sampling current: yes No Additional information or comments: <br />3. GARBAGE & REFUSE: <br />Licensed scavenger pick-up: Yes No Service Area No.: Other proposed <br />disposal method:c, <br />Potential problem(s): <br />4. FLY, MOSQUITO OR VECTOR POTENTIAL: <br />State possible vector potential and necessary control: A04 <br />5. TOILETBATH FACILITIES: <br />Number and locations existing:Additional <br />facilities needed: <br />b. PREVIOUS OPERATION HISTORY: <br />7. GENERAL SANITATION: <br />State any problems not previously noted: XJ14 <br />S. POPULATION DENSITY: <br />Approximate number of people per square mile: I -y <br />X Pa'! <br />.... <br />