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Core Push
This well is located on property owned by Applicant
Land Sale
Monitoring Well RegulationsInstruction Sheet - please read before completing this form
Corporation
Contamination Event
Spill Detection
Other Explain
Is this well required
Monitoring or remediation of a contaminated site
Spill detection monitoring
One time use or short term sampling
Until the contamination is cleaned up
Permanently or longterm continuous monitoring
For less than 1 year
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06/03/2026Click to Sign
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