WATER ANALYSIS  

LAB#                                                                               DATE RECEIVED 



CUSTOMER INFORMATION:                                                          MAIL RESULTS TO:
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SAMPLING INFORMATION

SOURCE OF SAMPLE:_______________  CONDITION Of CONTENT________________

COLLECTION TIME:_________________  TEMPERATURE OF CONTENT:____________

COLLECTION DATE:_________________ TYPE OF FILTER USED:__________________

PRESERVATIVE:____________________

TEST REQUEST

W1 LIVE STOCK SUITABILITY: SODIUM, CALCIUM, MAGNESIUM,
         CHLORIDE,CHLORIDE, CODUCTIVITY, TOTAL DISSOLVED SOLIDS, SULPHATE,
         NITRATE, pH                                                                                                                   $30.00

W2 IRRIGATION SUITABILITY: W1 & CARBONATE, BICARBONATE,
        POTASSIUM, BORON, ZINC, COPPER, MANGANESE, TOTAL
        HARDNESS.                                                                                                                   $40.00

W3 DOMESTIC SUITABILITY: SODIUM, CALCIUM, MAGNESIUM,
         POTASSIUM, SULFUR, COPPER, IRON, ZINC, MANGANESE, PH,
         CONDUCTIVITY, TOTAL HARDNESS, TOTAL DISSOLVED SOLID,
         NITRATE & TOTAL COLIFORM BACTERIA                                                                      $60.00
W4 COLIFORM                                                                                                             $30.00
W5* TCE                                                                                                                          $100.00
W6* VOLATILE ORGANICS                                                                                      $180.00
W7* ARSENIC                                                                                                                $35.00
W8* LEAD                                                                                                                       $35.00
W9*New Home: Coliform, Arsenic, Nitrates, and Lead $ 115.00
W10*Nitrates $ 15.00

* Special bottles required for these tests
** Coliform test can only be accepted Monday through Thursday
***Please note: An additional $10.00 charge will be added to all rush samples***

Sample bottles can be picked up at our office. See back of this sheet for sampling instructions.
Prices subject to change.

                                                             WATER SAMPLING PROCEDURE

1.Use clean, sterile plastic, or glass sample bottles, which will hold at least one cup of water. Bottles are available upon request.

2.For Coliform, TCE, VOC, Arsenic, and Lead, special bottles are required and may be obtained from our office byuest.

3.A representative sample should be taken. Make sure your fingers, faucet, or anything else does not contaminate the water sample. Do not touch the inside of the sample bottle/bag.

4.Any sampling method not conforming to the ones below should be noted.

5.Samples for testing Phosphorus and metals should be preserved.

6.Follow the steps below.

FOR WELLS

A.Let water run for 5-10 minutes. During this time open and close the tap
several times.

B.Hand pumps should be operated 15-20 minutes slowly and regularly.

C.A second sampling is necessary with dry wells. Completely empty the well, refill it with ground water, and then take the second sample.

D.Keep sample cool (4 C) until analyzed.

FOR TREATMENT PLANT OPERATION

A.Usually hourly samples taken for 24 hours with an amount of 2-3 L of water is sufficient.

B.When hourly samples are not possible, 2-3 hour samplings should be taken.

C.Keep sample cool (4 C) until analyzed.

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