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Social Media links WEBSITE OF THE STATE OF SOUTH DAKOTA DEPARTMENT OF HEALTH
Doneen Hollingsworth, Secretary of Health

Sample Bottle Order Form

(testing public water supplies)

To request sample bottles for testing of water supplies, please complete and submit the following form, indicating the quantity of bottles needed for each test specified. Bottles include complete instructions for collecting and submitting water samples for testing. Fee information for the various tests is also provided. Questions can be directed to the Lab's mailroom at 605-773-3368.

 

Shipping Information

Name
Title
Water System
Street Address
Mailing Address
City
State
Zip Code
Work Phone Number
FAX number
EPA ID Number
E-mail address



 
 
Quantity of Sample Bottles requested
Bacteria - unchlorinated
Bacteria - chlorinated
Nitrate
Lead/Copper
Other (specify test type)
 
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