Get Drinking Water Sample Submission Form (pdf ... - City Of Houston - Houstontx

Filling out the Drinking Water Sample Submission Form is an essential process for ensuring proper testing of your water supply. This guide aims to provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your submission.

1. Press the ‘Get Form’ button to access the Drinking Water Sample Submission Form and open it in your preferred PDF editor.
2. Begin by filling in the Public/Private Water System Identification section. Ensure that you print legibly in black ink and provide the TCEQ Public Water System ID, which must be 7 digits, including any leading zeros.
3. Next, enter the Public Water System Name and the NELAP Certificate number, as well as the TCEQ Lab ID and USEPA Lab ID. These details help the laboratory identify your water system.
4. In the Sample Collection Information section, include the date and time the sample was collected. Circle the appropriate AM or PM designation to clarify when the sample was taken.
5. Provide your contact information, including your name, address, city, state, zip code, and phone number. This information is crucial for the laboratory to notify you of your results.
6. Select the water source type by marking one of the options provided, such as ‘Groundwater (Well)’ or ‘Surface (Lake, River)’. Indicate if your sample is suitable for testing by marking 'Yes' or 'No' and ensure that the sample is iced if required.
7. For the Chlorine Residual section, include measurements of both free chlorine and total chlorine in mg/L, as these metrics are mandatory for TCEQ compliance samples.
8. Review your entries carefully to ensure all fields are completed correctly. After verifying the form, you can save your changes, download it, print it for submission, or share it if necessary.

Complete your Drinking Water Sample Submission Form online today for a smooth testing experience.