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/F89b CsF9ii� Talc r�EflRvCnw rA na7 t- <br /> rTA�k�'* J <br /> /5�� <br /> 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 /> wEc� MWIT4 o6aS0 <br /> 2. WATER SUPPLY: ?imp <br /> Is water supplied by private well: Yes -�" 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 /> 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, MOSOUITO OR VECTOR POTENTIAL: /� <br /> State possible vector potential and necessary control: TvG�-IL f-fl�t7 w <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: '�� Additional <br /> facilities needed: <br /> (j v- A-4 a;," Al; 15-2. I S <br /> 6. PREVIOUS OPERATI N HISTORY: S 7 <br /> t <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people..per square mile: h �''i <br />