Borehole Water Test Form

1 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 Cd Total Chromium as Cr Cadmium as Cd Copper as Cu Iron as Fe Lead as Pb Manganese as Mn Nickel as Ni Selenium as Se V as Vanadium Zinc as Zn E.

2 Coli and total coliform bacteria Total organic carbon Free & Saline Ammonia as N Send Copy of Water report to Our E-mail address. Yes: ___ no: ___ and Payment. When test are completed, you will be notified. Results will only been released when payment is settled in full. Order Number: Must be used with any queries. Electronic Payments: Will only been provided by the laboratory. Testing Time Frame: The turnaround time is between 7 and 10 working days.