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.00 <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 <br /> xplain:Describe septic installation to be installed:74 <br /> ,� f <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 s the permit current? Yes No 4-- <br /> Does existing or proposed use make this well Public Water: Yes No water/well <br /> sampling current: yesNo Additional information or comments: Ce l`4 <br /> 1� d3 — 766 <br /> h a <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes No Service Area No.: Other proposed <br /> 1m disposal method: <br /> Potential problem(s): -- <br /> 4. FLY MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> r <br /> 5. TOILET/BATH FACILITIES: <br /> s. Number and locations existing: 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 /> I r <br />