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Legionella Testing

EFFEX BOTTLE ORDER (pickup only)

* Indicates required field

Name *

First

Last

Phone Number *

Sample Matrix *

Drinking Water Waste Water Ground Water Soil Solid Aqeous

Container Type *

100mL sterile plastic w/ Na2S2O3 (Coliforms, HPC, Micro) Residential Domestic Panel Kit (Metals, Anions, TDS, NO3, NO2, pH, Total Coliform Bacteria(P/A) IOC Secondary Panel (Metals, Anions, TDS, MBAS, Color, Odor, pH, TDS) IOC Phase 2 Metals (Ba,Cd,Cr, Hg, Se) IOC Phase 5 Metals (Sb, Be, Ni, Tl) 3x40mL clear w/ HCL+TRIP (VOC 524) SOC Kit (500 Series) 250mL glass amber w/ NH4OH (HAA-552) 3x40mL amber w/ Na2S2O3 (THM-524) 500mL glass or plastic w/ NaOH (Cyanide) Other

Please list type of test (if Other), quantity requested, & date needed. Include any additional instructions or comments. *

Submit

CERTIFICATIONS

State of Nevada Certificate 2018
CDC Elite Program Certificate for Legionella 2018

LAB FORMS

Chain of Custody (pdf)

Spore Test Chain of Custody (pdf)

Credit Application (pdf): required for account setup/billing(net TBD)

SAMPLING & DISINFECTION INFORMATION

General Sampling Instructions

Coliform Sampling Instructions

Lead and Copper Rule Sampling Instructions

Well Chlorination/Disinfection Instructions

USEFUL LINKS

Nevada Division of Environmental Protection

Southern Nevada Health District

Agency for Toxic Substances and Disease Registry

5965 Harrison Drive, Suite 8, Las Vegas, NV 89120 - Phone (702) 367-1187
Open 12pm-5pm, Monday-Friday

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