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1. _SEWAGE: Connection necessary: Yes No <br /> Distance to Public Sewers: ' <br /> San Joaquin County Development Title #549 ? <br /> Does existing septic system comply with <br /> Yes No Unknown If no, <br /> explain- <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: No Is well proper: Yes No <br /> Is water supplied by private well: Yes <br /> State deficiency: <br /> Is well system a Public Water system? Yes No Is the permit current?I waterlwell <br /> Does existing or proposed use make this well PublNo- <br /> ic Water: Yes No <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 MOS UiTO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILETBATH FACILITIES: N f e�rE 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: NON <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />