Safe Drinking Water Inquiry Form & Well Test Request
FREE-SAFE drinking water programs are being offered by the Tule Basin Management Zone (TBMZ) to residents with elevated nitrate concentrations in their drinking water. If you are receiving this letter, the TBMZ has identified you as a resident that is potentially exposed to nitrate contamination in your drinking water supply, which may be harmful for your health. To begin the process for verifying whether your water is contaminated by nitrates and if you are eligible to enroll in the TBMZ Safe Drinking Water Program, fill out the Applicant Information below.
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Name
Address
Telephone No
Email
Do you receive water from a public water system or a private domestic well? *
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