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x� <br /> 1• SEWAGE: Connection necessary: Yes No <br /> Distance to Public Sewers: <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 /> 2. WATER SUPPLY: No Is well proper: Yes No <br /> Is water supplied by private well: Yes <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 <br /> Is water/well <br /> sampling current: yes No Additional information or comments: <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 UITO OR VECTOR POTENTIAL: <br /> State possibleP control:potential necessary <br /> S. TOILETS <br /> ATH FACILITIES: Additional <br /> Number and locations existing: <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 4 <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> k <br />