TWISS ANALYTICAL LABORATORIES, INC.

26276 Twelve Trees Lane, Suite C p Poulsbo, WA 98370 p (360-779-5141 p Fax: (360) 779-5150

 

WATER SAMPLE INFORMATION FOR RADIONUCLIDE ANALYSIS

Lab/Sample No:

 

System ID No:

System Name:

Group (circle):          A      B

County:

DOH Source No:

Multiple Sources:

Sample Type (circle):        Before Treatment       After Treatment

Date Received:

Date/Time Collected:

Collected By:

Sample Location:

Send Report To:

 

 

Phone Number:

Bill To:

         

 

ANALYSES REQUESTED   (PLEASE CHECK)

EPA REGULATED                                          

Gross Alpha                                c   Tritium                             

Gross Beta                                  c   Strontium            

Gross Alpha & Beta                   c   Cesium 134

      c   Radium 226                                 c   Iodine 131

      c  Radium 228            

                                                                                                                                               

      EPA UNREGULATED              

       c  Uranium          

       c  Radon           

 

SAMPLING INSTRUCTIONS FOR RADIONUCLIDE ANALYSIS

The sample should be taken as close to the source as possible, before distribution

From the spigot or tap, run the water 2 to 3 minutes before taking the sample.

Fill the sample container to the shoulder of the bottle.

All samples must be kept cold.  Bottles must be labeled with location of sample, date collected, and analysis requested.

Complete Sample Information form (WSI).  The following information must be completed:

    • System ID Number
    • System Name
    • Collection Date and Time
    • DOH Source Number
    • Sample Type
    • County
    • Group A or B
    • Sample Location

Deliver the sample and form to the laboratory within 24 hours of sampling.