NOTE:
- address - this should be the physical address of the well (ie. 23 ram drive)
- city - the city of the physical address.
- email address -- please make it legible, as we want to be sure to send it correctly.
- We prefer email addresses in order to send out the results on a pre-written form.
We hope that you will read the form and arm yourself with the necessary knowledge for future
discussions regarding your water test results.