Zapier Toxic Water Problems - old Step 1 of 3 0% Do you live in Wilmington North Carolina, Ohio, or West Virginia? Yes No Did you experience any of the following?* Tumors Kidney Disease Cancer Uterine Polyps Property Damage Water pipe damage Lost farm crops Other Please provide a brief description of your side effects. First Name Last Name Email* Phone*StateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming