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'_. 7 . .- <br /> j 2 cl-740 <br /> 1. <br /> SEW_: Connection <br /> Distance to Public Sewers: Connection necessary: Yes <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? V <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: F <br /> i <br /> 2. WATER SUPPLY• L� No <br /> Is water supplied by private well: Yes No Is well proper: Yes <br /> State deficiency: <br /> 7 Is the permit current? Yes No <br /> Is well system a Public Water system. Yes No p Is water/well <br /> Does existing or proposed use make this well Public Water: Yes No <br /> sampling current: yes Na Additional information or comments: { <br /> 3. GARBAGE & REFUSE: Other proposed <br /> Licensed scavenger pick-up: Yes No- <br /> disposal method: <br /> Potential problems}: <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 /> b. PREVIOUS ORERATION HISTORY: <br /> I <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />