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r <br /> NOTE: PULL ALL PEIvAITS (SEPTIC, WELL,'.ETC..-,,14AKE COPIES FOR FILE <br /> 1. SEWAGE: <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 /> P <br /> 2. WATER SUPPLY: _0 /V&ifs_ / / <br /> Is water supplied by private well: Ye o Is well proper: Yes 4°"r No <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 Is water/well <br /> sampling current: yes No Additional info ation or comments: <br /> �-- <br /> J1 <br /> 3. GAABAG &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 /> r <br /> „r <br /> "4 <br /> on <br /> ee <br /> 7. GEN RAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: �`— <br /> Approximate number of people per square mile: <br /> EH 06 06 kev 1199 <br />