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1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes N <br /> Does existing septic system comply _with San Joaquin County Development Title <br /> Yes No Unknown ✓ If no, explain: <br /> Describe septic installation to be installed: aN+ _�-.:.J ; =r.'C-' <br /> 2. WATER SUPPLY: <br /> Is water supplied by private ell: Yes ✓ No Is ell pro er: Yes No <br /> State deficiency: c <br /> k <br /> Is well system a Pu lic Wat r 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 ccmments: <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: r <br /> State possible vector potential and necessary control: <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <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 />