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323 Sixth Street Matilda, OR 83338 5419224894 FAX 5419225496 www.agsource.com Matilda agsource.com WATER ANALYSIS REQUEST FORM CHAIN OF CUSTODY CLIENT INFORMATION Client Name Client Address Acct#
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How to fill out water analysis request form

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01
Start by gathering all the necessary information. This typically includes providing your contact information such as name, address, telephone number, and email address.
02
Next, specify the type of water analysis you require. This could be for drinking water, wastewater, groundwater, surface water, or any other specific type of water source.
03
Indicate the purpose of the analysis. This helps the laboratory understand why you need the water analysis and can tailor the testing accordingly. For example, it could be for regulatory compliance, environmental assessment, industrial purposes, or personal concerns.
04
Include details about the location and source of the water sample. Provide information about where the water was collected, such as the address or GPS coordinates. Additionally, specify if the sample was taken from a tap, well, river, lake, or any other source.
05
Specify any specific parameters or contaminants you want to be tested for. Different water analysis labs offer various testing options, so it's essential to be clear about what you're looking for. Common parameters include pH, turbidity, total dissolved solids, heavy metals, bacteria, chemicals, and more.
06
Indicate the desired turnaround time for receiving the analysis results. This will help the laboratory prioritize your request accordingly. Keep in mind that certain tests may take longer than others, depending on their complexity.
07
Provide any additional instructions or requirements you may have. If there are any specific sampling techniques, preservation methods, or analysis methods you want the laboratory to follow, make sure to mention them clearly.

Who needs a water analysis request form?

01
Individuals who are concerned about the quality of their drinking water at home may need to fill out a water analysis request form to ensure the safety and purity of the water they consume.
02
Communities and municipalities responsible for public water supplies often require regular water analysis to monitor and maintain the quality of the drinking water they provide to residents.
03
Industrial facilities or businesses that rely on water for their operations may need to fill out a water analysis request form to ensure compliance with environmental regulations and to optimize their water treatment processes.
04
Researchers and scientists studying water resources, environmental impact assessments, or conducting water-related studies may require water analysis to gather data and make informed decisions.
05
Agricultural professionals involved in irrigation or livestock management may need water analysis to ensure the suitability of the water source for their specific needs and to assess potential impacts on crops or livestock health.
In conclusion, anyone with concerns about water quality, whether on a personal, community, industrial, or scientific level, may need to fill out a water analysis request form to obtain accurate and reliable information about the characteristics and safety of the water they are dealing with.
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The water analysis request form is a document used to request an analysis of water quality.
Anyone who needs to analyze the quality of water, such as individuals, businesses, or government agencies, may be required to file the form.
To fill out the water analysis request form, provide information about the water source, sampling location, and any specific parameters to be analyzed. Follow the instructions on the form for submitting the samples.
The purpose of the water analysis request form is to ensure that water quality is monitored and analyzed to protect public health and the environment.
Information such as the water source, sampling location, date and time of sampling, parameters to be analyzed, and contact information may need to be reported on the form.
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