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.�, � / <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes N <br /> Does existing septic system comply with San Joaquin County Development Title 54-9—? <br /> Yes _ No Unknown If no, explain: <br /> 2 --p <br /> NatioAf <br /> 42 <br /> 2. WATER SUPPLY: ' <br /> Is water supplied by private well: Yes No Is well proper: Yes No _ <br /> iency: P jirwt. ,D �"pe'can 2 TS <br /> l_Q <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 c �nt: es No Additional information or co mme ts:,�' Z <br /> Tom' <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 OPERATION HISTORY: <br /> Ot <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: /`� <br /> Approximate number of people per square mile:J <br /> N( u V ,J 7�- "�' <br />