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* 1. Please provide your state

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* 2. Please select which of the below best describes your system.

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* 3. Population served by your system - please use whole numbers .  To calculate population from meters,  use 2.5 persons per meter.

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* 4. Please select all that apply

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* 5. Number of other systems your system provides services to.  Please use whole numbers, ie., 1, 5, 8

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* 6. If your system provides or receives services to/from other systems, please mark all that apply.

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* 7. We welcome any other information or comments.

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