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1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No <br /> Does existing septic system comply w San Joaquin County Development Title 4549 ? <br /> Yes No Unknown�� If no, explain: /,G.,E2 d- <br /> mak:3 ,') / 'T G L _. <br /> Describes is installation to be installed- <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes 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 /> saming 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, ACTOR-POTENTIAL: <br /> State possible vector_potetrtiaHmidmecessary control: <br /> 5. TOILETBATH FACILITIES• <br /> Number and locations existing: n� _e� Z Ae� <br /> � �dirtibnal <br /> fig tL4ies-a#eded: .rz4 <br /> 6. PREVIOUS OPERATION HISTORY: 2 �1 � )e r r <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> - �- ,p <br /> 3. POPULATION DENSITY: / j- � <br /> Approximate number of people per square mile: <br />