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1. SEWAGE: "Oct <br /> Distance to Public Sewers: 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 /> 4/0 <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes No <br /> t ency: <br /> Is well system a Public Water system? Yes No Is the permit current? Yes Nos- - <br /> Does existing or proposed use make this well Public Water: Yes No Is wate wel <br /> sampling current: yes No Additional information or comments: <br /> a r 7 f C c4 <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: <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPE TION HISTORY: <br /> /7 ;;0_) <br /> 61 :~ <br /> , <br /> 7. GENERAL SANITATION: ��Q j �3 !b 9 <br /> State any problems not previously noted: - <br /> 8. POPULATIO T> Y:­- <br /> Appro ate number of,people per square.-ria-1e: <br />