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REQUIRED - Customer Cross Connection Control Survey 

Please take a few moments to fill out this survey. By doing so, you will help to protect your water supply. This survery is required by the California State Water Resources Control Board. 

Do you have any of the following conditions on your Twain Harte property? (Mark the appropriate box)
Please print your name and indicate relationship to the owner if this form is filled out by somebody other than the owner.
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A hard copy of the survey is available here: 

Consumer Cross-Connection Control Survey.pdf