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YOUTH ADVISORY COMMITTEE APPLICATION FORM 2023/2024 Term CONTACT INFORMATION: (PLEASE WRITE IN PRINT) (Last Name)(First Name)Name: (Street Address)Address:(Apartment/Unit #)(P.O. Box)(Rural Route)(City/Town)(Province)(Postal
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01
Collect a clean, sterile container to hold the water sample.
02
Fill the container with water from the suspected source, making sure to avoid any cross-contamination.
03
Seal the container tightly to prevent any leaks during transport.
04
Label the container with the date, time, and location of the water sample collection.
05
Submit the water sample to a certified laboratory for testing for naegleria fowleri.

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Individuals or organizations in Arkansas who suspect contamination of their water sources with naegleria fowleri.
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Naegleria fowleri is a brain-eating amoeba commonly found in warm freshwater.
Water treatment facilities and health departments are required to file naegleria fowleri reports in Arkansas.
Naegleria fowleri reports in Arkansas can be filled out online through the designated reporting portal.
The purpose of naegleria fowleri reporting in Arkansas is to monitor and prevent outbreaks of the amoeba in water systems.
Information such as sample collection date, location, and test results must be reported on naegleria fowleri reports in Arkansas.
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