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1. SEWAGE: <br /> Distance to Public Sewers: it/ 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 /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes No Y <br /> State deficienc Q i F PRS N w iR <br /> f/ d i T/U/U Fdu - <br /> Is well system a Public Water system? Yes No y Is the permit current? Yes No <br /> Does existing or proposed use make this well Public Water: Yes No k Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: T <br /> Licensed scavenger pick-up: Yes X No Service Area No.: F Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: �loti <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: JAI ��"'E S Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: 21 <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: 2"q <br />