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Henry & Stark County Health Department 4424 US Hwy 34, Suwanee, IL 61443 3098520197 3098523115 www.henrystarkhealth.com REQUEST FOR WATER SAMPLING BY SANITARIAN HENRY COUNTY STARK COUNTY Please Print
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How to fill out request for water sampling

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How to fill out a request for water sampling:

01
Start by identifying the purpose of the water sampling. Determine whether it is for testing drinking water quality, monitoring environmental conditions, or any other specific reason.
02
Gather all necessary information. This typically includes the name and contact details of the person requesting the water sampling, the location where the sampling will take place, and any specific instructions or requirements provided by the testing laboratory or authority.
03
Clearly state the date and time of the sampling request. This helps in avoiding any confusion and ensures the request is processed promptly.
04
Describe the source of the water being sampled. Specify whether it is from a private well, a public water supply, a river, a lake, or any other relevant source. Provide additional information, if required, such as the type of water treatment system in use.
05
Indicate the parameters or contaminants to be tested for. If you are unsure about the specific parameters, consult with the testing laboratory or refer to any regulatory guidelines or requirements applicable to your situation. The commonly tested parameters include pH, turbidity, total dissolved solids, heavy metals, bacteria, and pesticides.
06
Provide any additional details or special instructions. If there are any specific sampling techniques or sample preservation methods to be followed, mention them in this section.
07
Sign and date the request form. This confirms your authorization and ensures accountability.

Who needs a request for water sampling?

01
Individuals or households with private wells: Regular water sampling is important to ensure the safety and quality of drinking water from private wells. This helps identify any potential contaminants, such as bacteria, nitrates, or chemicals, that may pose health risks.
02
Industrial or commercial facilities: Businesses that rely on water for their operations, such as manufacturing plants or food processing units, often need to monitor the quality of their process water or discharged water. This helps ensure compliance with environmental regulations and standards.
03
Environmental monitoring agencies: Government entities responsible for monitoring natural water bodies, such as rivers, lakes, or oceans, may require water sampling to assess water quality, ecosystem health, and the impact of human activities on the environment.
Remember, the specific need for a water sampling request may vary depending on individual circumstances. It is always recommended to consult with professionals or relevant authorities to determine the appropriate sampling procedures and requirements.
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A request for water sampling is a formal submission asking for the collection and analysis of water samples to test for contaminants or other substances.
Anyone who is responsible for ensuring the safety and quality of water, such as a property owner, municipality, or water utility company, may be required to file a request for water sampling.
To fill out a request for water sampling, one must provide information such as the location of the water source, the reason for sampling, contact information, and any specific testing requirements.
The purpose of a request for water sampling is to assess the quality of the water, identify any potential contaminants, and ensure that it meets regulatory standards for safety and cleanliness.
Information that must be reported on a request for water sampling includes details about the water source, sampling method, sampling date/time, testing parameters, and any previous sampling results.
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