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WelUwater supply (continued) <br />Is there a treatment system? <br />�] yes ❑ no <br />Type of treatment:-Z=� c� -2 <br />Is the water sampling nt prior to <br />treatment? ❑ yes Lno <br />Sampling information <br />May the well be unsealed to measure <br />dept✓, to and of water? Z yes ❑ no <br />Depth of water ,& <br />Ground level to watW ft <br />May the well be pumped to measure <br />recharge characteristics? 0 yes ❑ no <br />Recharge rate gpm <br />Date measured: <br />Date sampled.• <br />Well sample no: <br />Roo SELL <br />w6,,"� 4'8 'Gk <br />Septictsewage treatment system. <br />❑ public service system <br />❑ aeration system <br />❑ peoWe plant <br />j sepdo tank <br />concrete <br />plastic <br />metal <br />❑ other (explain) <br />® drainNeld <br />❑ other (explain) <br />Attach lab analysis of the pre- treatment water and any available written well <br />documentaiion. Provide source of documentation. <br />