Submission Forms

Near North Laboratories Chain-of-Custody Forms

The following submission forms are blank and in PDF format. We can provide you with a customized pre-filled template or a different file format upon request.

Adobe_PDF_file_icon_32x32Drinking Water, Microbiology
Adobe_PDF_file_icon_32x32Drinking Water, Chemical
Adobe_PDF_file_icon_32x32Non-Drinking Water, Microbiology or Chemical
Adobe_PDF_file_icon_32x3225 Parameter Pkg.
Adobe_PDF_file_icon_32x3250 Parameter Pkg.
Adobe_PDF_file_icon_32x32MTO Kit
Adobe_PDF_file_icon_32x32Lead Sampling, Reg. 170/03 15.1
Adobe_PDF_file_icon_32x32Lead Sampling, Reg. 243/07
Adobe_PDF_file_icon_32x32Air Quality (ex: Mould, asbestos)

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External Forms

Regulation 170/03 (MECP)

Notice of Adverse Test Results and Issue Resolution (Schedule 16)
For reporting an adverse drinking water test results for drinking water systems regulated under the Drinking Water Systems regulation Ontario Regulation 170/03

Laboratory Services Notification (LSN)
To register with a licensed laboratory to perform testing for a drinking water facility.

 

Regulation 318/08 & 319/08 (MOHLTC)

Notice of Adverse Test Results and Issue Resolution

Laboratory Services Notification (LSN)

Notice to Operate or Reopen a Small Drinking Water System
To register new facility not previously registered with MECP or MOH; and to inform of construction or shut-down