POWNAL WATER SUPPLY WELL SAMPLE REQUEST FORM

The Vermont Department of Environmental Conservation has been collecting drinking water samples from all homes with a water supply well within the area of interest surrounding the Mack Molding Plant (see VTDEC web site map for details). The samples will be tested for the presence of PFOA. The following form is provided to help us know who is located within the area of interest and would like their well sampled. We will contact you in the next several weeks regarding sampling of your well. If you have any issues completing the form please dial 211. More information on PFOA is available at the Vermont Department of Environmental Conservation web site http://dec.vermont.gov/commissioners-office/pfoa
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