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1 SEWAGE: <br /> Distance to Public Sewers: /�� <br /> Does existing septic system comply with San Joaquin Connection County necessary:Deve opment Title Yes No Unknown #549 . <br /> If no, explain: <br /> Describe septic installation to be installed: <br /> 2• WATER SUPPLY: <br /> Is water supplied by private well: Yes <br /> State deficiency: NO Is well proper: Yes No <br /> Is well system a Public Water system? Yes <br /> Does existing or proposed use make this well Public Water: Yes NO- <br /> permit current? Yes No <br /> sampling current: yes No No Is water/well <br /> Additional information or comments: <br /> 3• GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes <br /> disposal method: ° Service Area No.: Other proposed <br /> Potential problem(s): <br /> 4• FLY, MOSOUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5• TOILETBATH FACILITIES: <br /> Number and locations existing: <br /> facilities needed: Additional <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 />