Water Test Submission Form

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This is the form used in correlation with the R2A and Flo water test kits. When filling this out, be sure to:

Fill out the entire form.

If you are a frequent or recurring tester, it can be tempting to breeze through the first two sections, but it is critical to completely fill out the form, every time. That way our team can properly identify and assign testing information to the correct offices as well as understand your current waterline maintenance protocol in case you have any questions.

Use consistent naming for operatories.

Your team may call Operatory 1 – Op 1, Green Room, or Jena’s Op but when filling out the submission form be extra mindful of what you call each operatory. When you go back to test again, you want to use the same naming system for each operatory as before, which helps keeps your documentation nice and tidy. We recommend keeping it simple by using the number naming system (i.e. Op 1, Op 2, Op 3, etc.)

Select “Pooled/Combined” when combining multiple water samples from the same operatory.

It can be easy to list out each device in which you are pooling your sample, but the best practice when it comes to proper documentation of pooled sampling is to simply circle “pooled/combined”.

Ship your submission form back to our lab.

When putting everything together to ship back to us, it is critical to include your submission form. Otherwise, we won’t have the information necessary to properly test and document your water samples.

Click below to download "Water Test Submission Form"