Water Sample Analysis request Form

Name and Surname(Required)

Water Testing Package(s)(Required)

Please select the water testing package(s) you are interested in

Drinking Water – SANS241 – Chemistry + Microbiology

Drinking Water – SANS241 – Chemistry only

Drinking Water – SANS241 – Microbiology only

Bottled Water – SANS1657

Irrigation Water – SANS241

Waste/Effluent Water – SANS241

Other testing parameters

Other testing parameters(Required)

Please specify

Sample Address

Where the water was sampled or where it must be sampled by H2oguru)

Street Address – Sample Address(Required)

City – Sample Address(Required)

ZIP / Postal Code – Sample Address(Required)

Country – Sample Address(Required)

Province – Sample Address(Required)

Please Select Service Type (Prices Excludes VAT)(Required)

Collection Address for Couriers(Required)

Same as sampling address

Different address

Collection Address for Couriers (if not the same Sample Address)

Where the water was sampled or where it must be sampled by H2Oguru

Street Address – Collection Address(Required)

City – Collection Address(Required)

ZIP / Postal Code – Collection Address(Required)

Country – Collection Address(Required)

Province – Collection Address(Required)

Invoice Name (If not the same)

Telephone Number(Required)

Email Address(Required)

Sample Name (Will appear on test results)(Required)

Any Water Quality concerns

Hard

Salty

Colour

Odours

Iron

Corrosion

Other

Quality Concerns: Other

Please specify

Any Special Requirements or Comments

Date(Required)

Terms and Conditions(Required)

I accept the Terms and Conditions*

Name

This field is for validation purposes and should be left unchanged.

Water Sample Analysis Request

Sample Address

Collection Address for Couriers (if not the same Sample Address)

Download the form in PDF

NB: If we make use of our Couriers

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