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PFAS Drinking Water Well Sampling Homeowner Questionnaire

PFAS Drinking Water Well Sampling Homeowner Questionnaire

If you received a letter from the Navy and would like to have your drinking water tested, please complete as much of this questionnaire as possible and click "submit."

 
 
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*
 
 
 
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 YES
 NO
 DON"T KNOW
 
 YES
 NO
 DON"T KNOW
 
 YES
 NO
 DON"T KNOW
 
 
 YES
 NO
 
 
 RENT
 OWN
 
 
 YES
 NO
 
 
 YES
 NO
 
 
 YES
 NO
 
 
 YES
 NO
 
 

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