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1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> ISA rsfz& gFG <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes No <br /> State deficiency: 'Vo <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 /> m <br /> sampling current: yes No Additional information or.;oments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No K 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: 3oT MdRE F'eopt.r, <br /> rA� 7<4RrJt ;sT'7�M6% <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> d,9F <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: 4/9 RGE RiZ'yxr—.o•v 0,e vj'- /k"kds5 <br /> fR-00-7 ('Hte1eeAl a4u <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: pz4 k'F9-1- <br /> r <br />