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ILockeford, California Water WeRl ,Survey <br /> To help us identify all water wells in your area,please fill out this form as completely as possible <br /> Name <br /> Address <br /> rTelephone Number(optional) <br /> When is the best time to reach your <br /> What is the source of your tap water9 (check only one) <br /> Municipal(city) water system <br /> Small community (neighborhood)water system <br /> If you use a small community well, please indicate <br /> Water system name <br /> Operator's name <br /> Operator's phone number <br /> Private well <br /> If you use a private well,please indicate <br /> Name of well owner(if someone other than you) and phone number <br /> Location of the well(for example, "150 feet behind the house") <br /> Well depth <br /> IYear drilled <br /> Don't know <br /> Thank you 1n advance for your help in this matter <br />