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�p- L(Uv- � s8 0/� 7s /PS <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes Nom <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 /> 2. WATER SUPPLY: p vm <br /> Is water supplied by private well: Yes <br /> _1L 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 /> P r-G Ti/ <br /> r <br /> / S ./S D ` Tis Gt/ <br /> GARBAGE RfFUSelo <br /> ell <br /> Licensed scavenger pick-up: Yes No Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY MOS UITO OR V FEl'QTIL - <br /> State possible vect and necessary;, castrot t <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY• <br /> _��( / G k :-1 /V126/ <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />