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1 <br /> 1. SEWAGE: 5LIAC PP V vn , {-S Fptt vl a .i1� <br /> Distance to Public Sewers: Motj� Connection necessary: Yes No <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes ✓ No Is well proper: Yes No <br /> State deficiency: <br /> Is well system a Public Water system? Yes No I Is the permit current? Yes No <br /> Publ <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 /> u-1�1 , r_ W P l <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, MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: vre vt s a <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: u o Iwl o u n Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> �eSlAypyt Qj- <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: �ar u-mtuVIA of ODA I Kt( <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />