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NOTE: PULL ALL PEIW TITS (SEPTIC, WELL, ETC.::�"TtIAKE COPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Severs: Connection necessary: Yes No " <br /> Does existing septic system comply with San Joaquin County Development Title .4549 ? <br /> Yes No Unknown If no. explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes J,-' No Is well proper: Yes t.-- No <br /> State deficiency: <br /> Is well system a Public Water system? Yes No Is the permit current? Yes-No- <br /> Does <br /> esNoDoes existing or proposed use make this well Public Water: Yes No .__Is water/well <br /> sampling, c rrent. yes No Addit'o I information or comments: -7 _ <br /> A <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. TOILET/BATH FACILITIES: <br /> Number and locations existinz: Additional <br /> facilities needed- <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square,mile------__ <br /> r <br /> su 06 06 Rn ],�99 <br />