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Water Test Request Please review all material prior to sample complete and return this formMckdttsoutheastern\'I*\”:fly\'J:\';:i:collection Rochester, MN sss04(s07) 32874ssSample Information:waterlab@co.Olmsted.MN.usNamePhone
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How to fill out private well water sample

01
Contact your local health department to obtain a water testing kit.
02
Read the instructions provided with the testing kit carefully.
03
Collect a water sample from your well in a clean container provided in the kit.
04
Label the sample with your name, address, and the date and time of collection.
05
Follow the instructions for transporting the sample to the testing facility.
06
Fill out any required paperwork and submit the sample for testing.

Who needs private well water sample?

01
Homeowners who rely on private well water for their drinking water supply.
02
Individuals who suspect their well water may be contaminated.
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A private well water sample is a collected water sample from a private water well used for personal, non-commercial purposes. It is tested to assess the quality and safety of the water for consumption.
Owners of private wells are typically required to file a private well water sample to ensure compliance with health and safety regulations.
To fill out a private well water sample, you must complete a designated form that includes details such as your name, address, well location, and the date the sample was collected.
The purpose of a private well water sample is to evaluate the water quality and detect potential contaminants to ensure it is safe for drinking and other uses.
Information that must be reported includes the owner's contact details, well location, sample collection date, and any laboratory testing results.
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