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Water Testing - Bottle Order Form

Water Providers or Wastewater Companies


This order form is designed for water providers and wastewater companies
for regulatory compliance water testing. 
 

 Click this link to view compliance testing schedules,
facility name, PWSID and sampling site numbers.


If you are placing an order as a well owner, private citizen, realtor or testing water
from nursing homes, hospitals, hotels, bath houses or spas,
click here to be redirected to your appropriate order form.


Ordering Information

The Laboratory Services Division provides bottles at no cost to customers, for the collection of water samples for testing.

These specially prepared bottles are guaranteed to be free from contaminants, so that your water sample can be tested properly.

If you need additional information about water testing:

      Visit our website for testing explanations, pricing and result turnaround times.
      Customers sending samples to the lab for water testing can designate "rush"
        testing on their test request form.
        Rush testing prices are double the price of the test.
      E-mail the laboratory at:
cdphe.lab@state.co.us
      Contact the water-testing laboratory at: (303) 692-3048
      Click on the links provided for some lab tests on the order form.
      Click on the question marks
on this order form for more information.


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Sampling bottles are free, but lab tests have prices.
CLICK HERE for a list of CURRENT TESTING PRICES.
Rush testing available upon request
(except for some radiological and bacterial tests).
Rush testing prices are double the amount
shown on the price test list link above.
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Customer Information

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PRIMARY CUSTOMER ADDRESS


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(This E-mail entry allows our shipping unit
to respond to your order by E-mail.)
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(Order receipt is sent to this E-mail entry.
If left blank, no order receipt will be sent.)
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If different than primary address, provide shipping information below.

Shipments are sent by FedEx and cannot be sent to P.O. Boxes

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If different than primary address, provide billing information below.
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If different than primary address, provide address information for sending test results in the spaces below.
* Indicates Response Required