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1. SEWAGE: <br /> Distance to Public Sewers: �T y 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: 7pp r k�M-fey'`L Rkftdo PDOV6 �b E04k4yK <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No X 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 well Public 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_X_Service Area No.: Other proposed <br /> disposal method: <br /> Potential problems <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: �� <br /> State possible vector potential and necessary control: <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: S <br /> 7. GENERAL SANITATION: ` <br /> State any problems not previously noted: Dog �ec (i N NT-i P,dq wW �sae�c� <br /> Nor 5�­rUtr (+LEAU(> U d1Cf+rH-� <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: CiEsrtir!/f�rC'oM r�rR P r h L M EDt u r✓ os, <br />