Water Analysis Form – MemTeck Water Technologies

1. Customer Information

Full Name * Company / Organization Email Address * Phone / WhatsApp * Country Project / Site Name

2. Water Sample Information

Water Source * Number of Samples * Sampling Date Sample Location Expected TDS, mg/L Sample Temperature, C

Sample Description / Process Conditions

3. Choose a Testing Package

Choose a suggested package, then add or remove individual parameters below.

4. Select Testing Parameters

Select all parameters required for your quotation and laboratory report.

Major Cations

Calcium (Ca2+) Magnesium (Mg2+) Sodium (Na+) Potassium (K+) Ammonium (NH4+) Lithium (Li+) Strontium (Sr2+) Barium (Ba2+)

Nutrients and Nitrogen Species

Total nitrogen (TN) Total Kjeldahl nitrogen (TKN) Ammonia nitrogen Nitrate nitrogen Nitrite nitrogen Total phosphorus (TP) Orthophosphate Silicate Chlorophyll-a

Radiological Parameters

Gross alpha activity Gross beta activity Radium-226 Radium-228 Radon Cesium-137 Tritium Total uranium

Other / Custom Parameters

5. Reporting and Service Requirements

Purpose of Analysis Required Turnaround Report Type Preferred Standard Upload Previous Report or Sample Photo Need Sample Collection?

I confirm that the information provided is accurate and authorize the laboratory to contact me regarding this request.

Customer and sample information is handled according to our privacy and laboratory quality-management procedures.

Water Analysis Request Form

1. Customer Information

2. Water Sample Information

3. Choose a Testing Package

4. Select Testing Parameters

Physical and Field Parameters

General Chemical Parameters

Major Cations

Major Anions

Nutrients and Nitrogen Species

Metals and Trace Elements

Microbiological Parameters

Disinfection and By-products

Organic Contaminants

RO Membrane Design and Scaling Parameters

Wastewater and Sludge Parameters

Radiological Parameters

5. Reporting and Service Requirements

1. Customer Information

2. Water Sample Information

3. Choose a Testing Package

4. Select Testing Parameters

Physical and Field Parameters

General Chemical Parameters

Major Cations

Major Anions

Nutrients and Nitrogen Species

Metals and Trace Elements

Microbiological Parameters

Disinfection and By-products

Organic Contaminants

RO Membrane Design and Scaling Parameters

Wastewater and Sludge Parameters

Radiological Parameters

5. Reporting and Service Requirements

Book Consultation