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SEWAGE: <br /> 1. y <br /> No <br /> Distance to Public Sewers: Connection necessary: Yes <br /> Does isting sep c system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unkngwn If no, explain: <br /> r <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes Na 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: Other proposed <br /> Licensed scavenger pick-up: Yes No Service Area No.: p P <br /> disposal method: <br /> Potential problem(s)- <br /> 4. FLY MOS UITO OR VECTOR POTENTIAL: * . <br /> State possible vector potential and necessary control: . - ' = ' <br /> 5. TOILET/BATH FACILITIES: Additional <br /> Number and locations existing: <br /> facilities needed: <br /> 6, PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> g. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> r ,. <br />