Water Quality Testing Form

Water Quality Testing Form

Agreement Recitals (WHEREAS)

WHEREAS, Client Name: (the "Client") requires analytical water quality testing services; and

WHEREAS, Laboratory Name: (the "Laboratory") is qualified to perform such testing under the terms set forth below; and

WHEREAS, Effective Date: this form documents the submission of samples and the contractual terms that govern analysis, reporting, and payment.

Client and Contact Information

Sample Information & Chain of Custody

Sample ID:    Sample Type:

Collection Date:    Collection Time:

Container ID:    Preservative Used:    Sample Temperature on Receipt:

Intact container    Leaking    Mislabeled    Chilled on receipt    Ambient temperature

Tests Requested

Please check requested analyses. Tests marked will be performed according to the Laboratory's standard methods unless otherwise specified.

Total Coliform    E. coli    pH    Turbidity (NTU)   

Conductivity    Total Dissolved Solids (TDS)    BOD    COD

Heavy Metals (specify below)   

Scope of Work

The Laboratory will perform analyses described above, using method detection limits appropriate for the parameter, and will report results to the Client in written form. Turnaround time and any deviations from standard methods will be communicated prior to testing when delays or method substitutions are necessary.

Payment Terms

Client agrees to pay all fees and any reasonable costs of collection, including attorneys' fees, for overdue balances. Quotations for testing are estimates; Laboratory will notify Client of material increases prior to completion of testing.

Term and Termination

Commencement Date:    Term End Date:

Either party may terminate this agreement for cause where the other party materially breaches obligations and fails to cure within the notice period. Termination does not relieve the Client of responsibility to pay for services performed and costs incurred through the effective date of termination.

Confidentiality

The Laboratory will treat Client data and results as confidential proprietary information, and will not disclose such information except to regulatory authorities where required by law or with the Client's prior written consent. Data may be used in anonymized form for quality control and method development unless Client expressly prohibits such use in writing.

Governing Law

This agreement shall be governed by and construed in accordance with the laws of the jurisdiction where the Laboratory's primary facility is located. The parties consent to exclusive venue in the courts of that jurisdiction for any disputes arising under this agreement.

Entire Agreement

This form, together with any attachments and written quotations signed by both parties, constitutes the entire agreement between the Client and the Laboratory with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral.

Client Certification

By submitting samples and signing below, Client certifies that samples were collected, preserved, and transported in accordance with applicable sampling protocols and that the information provided in this form is complete and accurate.

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