Davey Sales Order Number
*
Tests Requested
*
CHEMTEST - Chemical/Mineral (must be received by lab within 48-96 hours of sampling)
BIOTEST - Biological/Bacteria/E. Coli (must be received by lab within 24 hours of sampling)
Water Treatment Recommendation Required
*
No, Water Test Results Only
Yes, Water Test Results & Water Treatment Recommendation
*
*
Street Address Line 2
*
*
Format: (00) 0000-0000.
*
*
*
Street Address Line 2
*
*
Format: (00) 0000-0000.
Location of Sample
SampleDate/Time
-
Day
-
Month
Year
SamplePoint
Water Source
Mains/Town
Rainwater
Bore / Well
River/Stream/ Creek
Dam/Pond
Other
Application
Small House (3 bed, 1 bath)
Large House (3+ bed, 2 bath)
Commercial / Industrial
Caravan/ Holiday Park
Farm
Irrigation
Toilet Block
Other
Will the water be used for drinking?
Yes (if water is required for drinking ongoing disinfection is always recommended)
No
Have you identified any of the these issues with your water?
Bad Taste
Bad Smell
Limescale
Chlorine Taste
Blue / Green Stains
Rusty/Black Stains
Water Cloudy
Water Discoloured
Sediment
Algae
Other
Storage Tank
No Storage
Plastic
Concrete
Other
Existing System
Yes
No
Upload Rough Schematic of current set up (see download documents load print) )
Drag and drop files here
Choose a file
Upload file format jpg, jpeg, png and pdf. Image file size no larger than 5mb per file.
Cancel
of
Have you sent a water test to ALS to be tested by Davey?
Yes
No
Upload Chain of Customer (CoC) form & PO for water test
Drag and drop files here
Choose a file
Upload file format jpg, jpeg, png and pdf. Image file size no larger than 5mb per file.
Cancel
of
Do you already have valid Water Test results? (taken within the past 6 months)
Yes
No
Upload Water Test Results
Drag and drop files here
Choose a file
Upload file format jpg, jpeg, png and pdf. Image file size no larger than 5mb per file.
Cancel
of
Submit
Should be Empty: