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Desalination Database Updates for Texas - Texas Water ...

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(Use one <strong>for</strong>m <strong>for</strong> each plant)<br />

Appendix A: SURVEY FORM FOR DESALINATION FACILITIES<br />

Data entered on: ________________<br />

1- GENERAL INFORMATION:<br />

Plant Name and Address:<br />

Official Name:_________________________________________________________________<br />

Address: ______________________________________________________________________<br />

_____________________________________________________________________________________<br />

_______________________________________________________________________<br />

County:_______________________________________________________________________<br />

<strong>Water</strong>/Ground <strong>Water</strong> Conservation District (if applicable): ______________________________<br />

Public <strong>Water</strong> System No (if applicable): _____________________________________________<br />

Contact Name: _________________________________________________________________<br />

Contact Title: __________________________________________________________________<br />

Phone: _______________________________________________________________________<br />

Fax: _________________________________________________________________________<br />

Email: ________________________________________________________________________<br />

Web site: _____________________________________________________________________<br />

Plant Designer: _________________________________________________________________<br />

______________________________________________________________________________<br />

Contact_______________________________________________________________________<br />

Plant Owner: __________________________________________________________________<br />

______________________________________________________________________________<br />

Plant Operator: _________________________________________________________________

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