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1. SES: Connection necessary: Yes No <br /> Distance to Public Sewers: <br /> with San Joaquin County Development Title #549 . <br /> Does existing septic system comply <br /> Yes No Unknown If no,explain: <br /> Describe septic installation to be installed: <br /> 2, WATER SUPPLY:private well: Yes_ No Is well proper: Yes No <br /> Is water supplied b p <br /> State deficiency: <br /> Is the permit current? Yes—No— <br /> is <br /> esNoIs well system a Public Water system? Yes No ater: Yes No Is water/well <br /> Does existing or proposed use make this well Public W <br /> Additional inform t on or comments: <br /> sampling current: yes No <br /> 3. GARBAGE & REFUSE: No Service Area No.:---.Other proposed <br /> Licensed scavenger pick-up: Yes <br /> disposal method: <br /> Potential problem(s): <br /> 4, FLY MOS UTO ORe VECTOR POTENTIAL: <br /> State possible Poancontrol: <br /> 5, TOILETBATH FACILITIES: Additional <br /> Number and locations existing: <br /> facilities needed: <br /> 6, pREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> g, POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />