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1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No _k <br /> Does existinz septic system comply with San Joaquin County Development Title 9,549 ? <br /> Yes Y No unknown If no. explain: NO /1 1 p <br /> Describe septic installation to be installed: <br /> 2. 'A ATER SUPPLY: <br /> Is water supplied by private well: Yes X No Is well proper: Yes � No <br /> State deficiency: <br /> Is well system a Public Water system? Yes Nom(_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 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: X19 <br /> 5. TOILETBATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> -rRudK REF,4%R - kPaoAsTay Re P*(R a 61f RP b e Je C- <br /> 7. <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: u Kos <br /> y <br />