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P <br /> It yea, what type of treatment?----------------------------------- <br /> In <br /> __---------------------------_---Is there a water sampling tap for untreated water? Yea__ _ No_-, <br /> De you have your own eeptic system? Yee_,_ Ho_.-_,,, <br /> It yea, since when?.................... <br /> It no, when was your home connected into the public mover? <br /> month- <br /> Year___-. __-______ <br /> Do you ever have any nater problems?............................. <br /> Extent of profbleu---------..-------------------------------------- <br /> f <br /> Has your well ever been analyzed? Yee_____ No.... <br /> When?------------ ----- <br /> 9ywhom?........................................ _. <br /> Sketch the location of the well end the septic system. <br /> Id t <br /> OV <br /> v <br /> 2 <br />