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i. SEWAGE: <br /> Distance to Public Sew is: kkt(1 L} ��L -- Connection necessary: Yes No <br /> Does existing sept' system comply with San Joaquin County Development , Title 4544 ? <br /> Yes No 1 Unknown If no, explain: / 'o �. D AA—:;M] <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yesl No Is well proper: Yes No <br /> State deficiency: <br /> Is well system a Public Water system? Yes No Is the permit current? Yes No <br /> Does existing or proposed use make this we'. ublic 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: <br /> Potential problem(s): <br /> 4. FLY_M_ OSOUITO OR VECTOR POTENTIAL: � II <br /> State possible vector potential and necessary control: F`�d � T <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />