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Water Testing Guide Questions/Comments: Laboratory Contact Suggested Water Quality Testing Fact Sheet

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Name Type H Address1 Address2 Town State Zip Phone First Test STANDARD ANALYSIS RADIOLOGICAL ANALYSIS VOLATILE ORGANIC CHEMICALS DRINKING WATER BACTERIA BASIC ANALYSIS SWIMMING WATER BACTERIA SUSPECTED SEWAGE SURFACE WATER FLUORIDE OTHER # of Bottles 1 Max. 10 Other, Please Explain Second Test STANDARD ANALYSIS RADIOLOGICAL ANALYSIS VOLATILE ORGANIC CHEMICALS DRINKING WATER BACTERIA BASIC ANALYSIS SWIMMING WATER BACTERIA SUSPECTED SEWAGE SURFACE WATER FLUORIDE OTHER # of Bottles 2 Max. 10 Other, Please Explain Third Test STANDARD ANALYSIS RADIOLOGICAL ANALYSIS VOLATILE ORGANIC CHEMICALS DRINKING WATER BACTERIA BASIC ANALYSIS SWIMMING WATER BACTERIA SUSPECTED SEWAGE SURFACE WATER FLUORIDE OTHER # of Bottles 3 Max. 10 Other, Please Explain