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I.i 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 /> r%e <br /> WATER SUPPLY: r/ No <br /> Is water supplied by private well: Yes— <br /> State <br /> esy No Is well proper: Yes <br /> Stated ctency: <br /> �--_ <br /> j Is well system a Public Water system? Yes No Is the permit current? Yes No <br /> Does existing or proposes use make this well Public Water: Yes No Is water/well <br /> sampling current: yes__ No Additional information or comments: <br /> oG(.41 rum' / 't l iL�l/ .fp n���.� !✓ <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No Service Area No.: Other proposed <br /> disposal method: <br /> ���� Potential problem(s): <br /> 4./ FLY MOSQUITO OR VECTOR POTENTIAL: <br /> ll// State possible vector potential and necessary control: /WAnn4 <br /> TOILETBATH FACILITIES- Se L � <br /> Number and locations existing: <br /> v ' Additional <br /> -cp <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />