Well Water Test

 

This project, begun in 2012 by way of a grant from the Stony Brook - Millstone Watershed Association, should be an on-going program that property owners with wells that supply potable water to homes, businesses, and agricultural use make use of regularly.

 

TEST PARAMETER

          1.  Total Coliforms (e-coli)

          2.  Nitrates

          3.  Hardness

          4.  pH (acidity / alkalinity)

          5.  Iron

          6.  Lead

          7.  Arsenic


ALL FIELDS ARE "REQUIRED" !

FULL NAME:
ADDRESS:
CITY:
STATE:
ZIP:
(5-digits only)
PHONE:
(xxx-xxx-xxxx format please)
EMAIL:
** PREFERRED DAY:
** PREFERRED TIME:
*** ACCEPTANCE:


** The Preferred Day and Preferred Time entries relate to when it is most convenient for you to allow the lab's field tech to come to your location to draw the water sample for the test. The lab will contact you upon receipt of this Order to confirm a date and time for your sample draw.  The actual test and analysis is done at a remote laboratory.

*** The Acceptance entry, by selecting "YES", is your agreement with the following:  "Your water test results data will be held in a private database to be used for statistical and general report purposes. When the data are used in reports that are published and made publicly available by the CDCWA, they will only be identified generically by county and municipality.  The data from any individual's well test will not be sold or passed to any other party outside of the CDCWA for any purpose whatever."

PART 1 - ORDER FORM

PART 2 -

PURCHASE & PAY


Click button above AFTER you send your order and are returned to this page. You will then be directed to the Shopping Cart Checkout pages.
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