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WPM- <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No1I <br /> Does existing septic system comply with San Joaquin County Development Title #549 ? <br /> Yes No UnknownIf no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: 'y <br /> Is water supplied by private well: Yes No Is well)proper�Yes No �,��, � <br /> State deficiency: ���i /rrs�,-� �c. � . x.�1, rx� <br /> yl <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 NoL' Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes - Nolte Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY MOS UITO 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 /> y'6.-. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br />