Borehole Water Test Form

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Borehole Water Test form Date: ____________________ Contact Person: ____________________ Postal Address: _______________________ Company: __________________________ _______________________ Order Number: ______________________ _______________________ Vat Reg Number: ____________________ Telephone Number: __________________ Fax Number: ________________________ Cell phone Number: __________________ E-Mail:_____________________________ Method Invoice and Report must be Send: E-Mail Fax Mail Collected by Hand Report: Invoice: Element Sample Sample Sample Sample Advised to test for all elements. pH Value at 25 C Electrical Conductivity in mS/m at 25 C Total Dissolved Solids at 180 C Colour in PtCo Units Turbidity in Combined Nitrate plus Nitrite Chloride as Cl Sulphate as SO4 Fluoride as F Sodium as Na Potassium as K Calcium as Ca Magnesium as Mg Aluminium as Al Antimony as Sb Arsenic as As Cadmium as C

Send Copy of water report to do@askit.co.za. Our E-mail address. Yes: ___ no: ___ www.boreholewater.com and www.tapwatersa.co.za Payment. When test are completed, you will be notified. Results will only been releas

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