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If yet, what type of treatment?---------------------------------- <br /> la <br /> ________________________ ------Ia there a rater sampling tap for untreated voter? Ves__i- Ho_-_ <br /> Do you have your own septic system? Yes_-- NO---- <br /> It yea, since when?___________________ <br /> If no, when was your home connected Into the public sever? <br /> Month--_____----- <br /> Year-- ---1_--------- <br /> Da you ever have any rater probleius? 1, Sell W64�4 v n <br /> 1' �- - ------- <br /> Extent of problem---------------------�j ----------------- --- <br /> Has your veil ever been analyzed? Yes_--_- No---- <br /> When?---- <br /> o___-When?--------------------By wham?--------------------------------------- <br /> Sketch <br /> -------------------- ------------_-----Sketch the location of the veil and the septic system. <br /> J , <br /> 2 <br />