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picture1_Printable Inventory Form 192473 | 3300 215


picture2_Printable Inventory Form 192473 | 3300 215 picture3_Printable Inventory Form 192473 | 3300 215

 68x       Filetype PDF       File size 0.18 MB       Source: dnr.wi.gov


File: Printable Inventory Form 192473 | 3300 215
State of Wisconsin PUBLIC WATER SUPPLY POTENTIAL CONTAMINANT USE INVENTORY Department of Natural Resources Form 3300-215 Rev. 1/99 Facility Name: System Type (Check One): __ Municipal __ Other than Municipal ...

icon picture PDF Filetype PDF | Posted on 05 Feb 2023 | 2 years ago
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...State of wisconsin public water supply potential contaminant use inventory department natural resources form rev facility name system type check one municipal other than nontransient noncommunity transient i d number total wells review area ft radius cfr mile parts and ii this are authorized under ss nr b wis adm code which pertain to sampling for drinking contaminants completion is required apply or extend monitoring waivers failure complete upon request by the may invalidate existing make ineligible new increase samples personally identifiable information requested on likely be used purposes that it originally being collected dnr plans provided available electronically internet instructions look at a map your identify each active well in indicate how many sources listed below present within example if gas service stations located no enter row station column there contamination particular place an x none directly source was with location all placing circle cross hairs labeling appropr...
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