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Welllwator supply (continued) <br />Is there a treatment system? <br />yes ❑ no <br />Type of treatment: <br />,ls the water sampll Dint prior to <br />treatment? ®. yes no <br />Sampling Information <br />May the we# be unsealed to measure <br />depth to and of water? 0 yes J9 no <br />Depth of water. af, -f <br />Ground level to water._,,' --ft <br />May the well be pumped to measure <br />recharge characteristics? M yes ❑ no <br />Recharge rate 9Pm <br />Date measured: <br />Date sampled. <br />Well sample no: <br />REX CAse <br />Septicisewage treatment system <br />public service system <br />aeration system <br />❑ package plant <br />septic tank <br />&concrete <br />❑ plastic <br />❑ metal <br />(] other (explain) <br />drainfleld <br />❑ other (explain) <br />Attach lab analysts of the pre- treatment water and any available written well <br />documentation. Provide source of documentation. <br />