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IL } <br /> f 1. SEWAGE: <br /> Distance to Public.Sewers: Connection necessary: Yes Nox, <br /> Does existing septic system co!Olf'no, <br /> h San Joaquin County Develop ent Titl #549 ? <br /> Yes No Unknown explain: < <, <br /> Describe septic installation to be installed: <br /> k <br /> 2. WATER SUPPLY: / <br /> C Is water supplied by private well: Yes No Is well proper: Yes No <br /> State deficiency: <br /> i <br /> f 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: s <br /> Potential problem(s): <br /> 4. FLY MOSQUITO OR VECTOR POTENTIAL: <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 /> �r <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />