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SIGNATURE DATE Well Owner or Legal Representative CCPHD/REVISED 7-2017 EHS www. chathamnc.org/environmentalhealth. 00 IRON BACTERIA INORGANIC MINERAL 110. 00 SULFUR BACTERIA NITRATE Date Rec d Ck CashCC Amt. Rec d Full Panel Bacteria Coliform only Nitrate Inorganic FULL PANEL KIT 150 EXISTING WELL 0 New Well-Initial Sample Requires prior health department authorization PESTICIDE PETROLEUM R.E.H. You may also check them on our webpage http //www. chathamnc.org/index. aspx page 650 Does home...
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