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11660 Upper Gilchrist Rd. Mount Vernon, OH 43050www.knoxhealth.comPhone 7403922200 Fax 7403929613(Office use only) AR Number:___REQUEST FOR PRIVATE WATER SAMPLE PROPERTY OWNER ___ PHONE ___ SAMPLE
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How to fill out water sample drop off

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How to fill out water sample drop off

01
Obtain a water sample bottle from the designated drop off location.
02
Fill the bottle with water from the source you wish to have tested.
03
Make sure to fill the bottle to the specified level indicated on the bottle.
04
Securely close the bottle to prevent any leaks during transportation.
05
Label the bottle with your name, date, and any other required information.
06
Bring the water sample bottle to the drop off location during their designated hours.

Who needs water sample drop off?

01
Anyone who needs to have their water tested for quality and safety purposes.
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Water sample drop off is the process of submitting a sample of water for testing or analysis to determine its quality.
Individuals or organizations responsible for water quality monitoring or compliance may be required to file water sample drop off.
Water sample drop off can be filled out by collecting a sample according to guidelines, completing the necessary forms, and submitting it to the appropriate testing facility.
The purpose of water sample drop off is to ensure the quality and safety of drinking water, monitor pollution levels, and comply with regulations.
Information such as location and date of sample collection, testing parameters, and any notes or observations must be reported on water sample drop off.
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