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Waterloo Radon Project Database - New Data Entry

Please fill out the following form carefully. The first four fields are the only fields that are required because the rest of the data can be entered later.

Your Name:


Login Name:  Please remember your login name and password. You will need if you modify you data in the future.
Password:
Password Confirmation
Date the canister was opened:     ,   (must be a four digit year)
Time the canister was opened:    
Date the canister was closed:     ,   (must be a four digit year)
Time the canister was closed:    
Your Street Address:
City:   Zip:
Floor Level Tested:
Year your house was contructed: (must be a four digit year)
House foundation type:
Radon Reading: pCi/L
Latitude (decimal degrees):
Longitude (decimal degrees):

Latitude (degrees:minutes:seconds):

Longitude (degrees:minutes:seconds):
   
   

 

 

 

 
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