Morrow-Umatilla Counties Well Sampling Form

If you own a well in Morrow or Umatilla County and would like to have your water sampled, we invite you to complete this form to express your interest. Your participation will help us ensure safe and clean drinking water in the community.

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* 1. Please provide your name.

First name

Last name

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* 2. Email Address

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* 3. Phone

Country Code

Phone number

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* 4. Home address

Street address

Street address line 2

City

State

Zip code

Country

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* 5. Do you live in Morrow or Umatilla County?

Yes

Not Sure

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* 6. Does your residence rely on a well for drinking water?

Yes

Not Sure

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* 7. Have you experienced any of these issues or problems with your well?

Low summer capacity

Cloudy water

Taste and odor issues

Tests show contamination

Mechanical problems

No issues or problems

Other (please specify)

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* 8. Would you like to schedule a FREE water quality test for your well? (Must be within the project area)

Yes

Not now - maybe later

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* 9. If Yes, what's the best day/time to schedule a well test?

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* 10. Would you be interested in receiving information, or a link to learn more about maintaining and protecting your well?

Yes

The well test results will be sent to you at the above address or email, and also to the Oregon Health Authority. Your included well results will not be shared.