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It yeas, whet type of treatment? <br /> Is there a water aaapling tap for untreated voter? <br /> Do you have your own septic esyptem? Yea___ N�►-_-_ <br /> It yea, since when? <br /> It no, when van your base connected into the public sever? <br /> Month--------_-_.^_ <br /> Yea: <br /> Do you ever have any water problems? <br /> Extent c l problem <br /> # Hen your well ever been analyzed? Yea_____ <br /> 1 When? -------------� .�__ <br /> ! <br /> Bywhom?-----.., _------ ..------------------------ <br /> Stretch the location of the well and the septic system. <br /> i .._ <br /> • <br /> 2 <br />