Torrent Laboratory Environmental Testing and Analysis
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Water Quality Test Questionnaire

Please complete the information below to help us determine the correct testing parameters.
Customer Information
All fields are required.
Name
Address
City
State
ZIP code
Email
Phone
Alternate Phone (optional)
Best way to reach you:   Email    Phone
Best time to contact you? (optional)

Tell us about your water issue:

  Reason for the test?
  Do you have a bad taste issue? Yes No
  Do you have a bad ordor issue? Yes No
  Do you have a water color issue? Yes No
  Source of your drinking water:
    Tap water Private water well Community water well
    Bottled water Recycled water
  Do you think any external factors are impacting your water quality? Yes No
  If Yes, please explain:
    
  Do you use any pre-treatment?
    Faucet filtration Post faucet filtration Water softener Reverse osmosis None
  How soon do you want to do a Water Quality test?

Based on your answers, we may have more questions for you. We will contact you shortly to further assisst you.

Please note that all data collected is held in the strictest confidence.

Thank you for taking time to consider the quality of your drinking water.