Taking The Test

This is a SAMPLE FORM with explanation pop ups for each field

PLEASE NOTE:  We do not test for Bacteria . Purity a question? Contact your local Health Department.
WATER SAMPLING PROCEDURE: COMPLETELY fill out form. Water will not be analyzed without Distributor’s Name. Let UNFILTERED water run from cold water faucet 2-3 minutes. Fill bottle! If troubleshooting existing equipment, take a treated sample from kitchen faucet and a raw water sample before equipment.  List Model #                   .	224 Shoemaker Road, Pottstown, PA 19464
PLAINLY PRINT INFO BELOW: PHONE GENERAL INFORMATION: Owner:          No. of Persons in the Household Owner:          No. of Bathrooms Distributor:                                                    Branch:           No. of Whirlpools REMARKS: Water Supply           City          Water Pressure           Pipe Diameter         Well                 PSI Setting Well Pump Capacity            gal per min. ON SITE RESULTS, IF ANY: Run boiler drain on well tank piping for10 min. Time the fill rate of a 5 gal. bucket CO2                Hardness           Iron PH                   Sulfur             Submersible Pump             Jet Pump
When drawn, water is:          clear          colored          sediment Does air spurt from faucet? HOT         COLD          Notable stains          orange/brown          blue/green          black          yellow Taste/Odor ____ rotten egg - hot ____ rotten egg - cold ____ rotten egg - both ____ Chlorine ____ musty / earthy ____ Other: ______________