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Water Test Submittal Form Mobile App

We are providing the Water Test Submittal Form mobile app information to help you choose the appropriate water test for your home and to assist you in taking a proper water sample. The document suggested water quality testing for wells and provides a general description and educational information to help you consider which test would be most useful. This app contains the water testing guide providing descriptions of the common water tests available from the Department of Environmental Services (DES) Laboratory.

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Included Features

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Included Fields

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(please fill out completely)
The lab cannot accept bacteria samples after 12:00 on Fridays or the day before a holiday
The following is information about where the sample(s) was collected:
Date
Time
Owners Name (of well)
Street Address (well location)
City/Town
State
Zip Code
Phone Number
Source of sample water:
What kind of well?
Has this well been disinfected recently?
DATEd
If there is a water treatment/filtration system on line, what are you treating for?
If there is water treatment/filtration on line, was sample taken BEFORE
or AFTER treatment?
Comments about the sample
The following is the mailing address where you would like us to send the laboratory report:
PLEASE CHECK TEST CHOICE
* These tests are included in the Standard Analysis
Standard Analysis $85
Radiological Analysis/Radon $80
Volatile Organic Chemicals $120
Drinking Water Bacteria* $15
Basic Analysis* $3
Swimming Water Bacteria $20
...and More!