Private customer water testing bottle order form
This order form is for non-water providers such as well owners, business owners, and realtors who want to test their drinking water. Non-water providers do not follow a water testing compliance schedule or have a public water system identification number (PWSID).

In observation of state holidays, the State Lab will not accept water samples:
  • Monday, September 2, 2024
  • Monday, October 7, 2024
  • Monday, November 11, 2024
  • Thursday, November 28, 2024
  • Wednesday, December 25, 2024
Do not send samples via mail or third party carrier on the business day before the holidays listed above, or risk having to recollect samples.

With every order, the State Lab will send a requisition form 250, Request for Analytical Services.

Payment for water testing is due at the time of water sample submission via drop off or mail.

Water testing update (7/10/2024) - The following water testing services are not eligible for rush testing at this time: Organic chemical rules package, EPA 504: ethylene dibromide (EDB) and dibromochloropropane (DBCP), EPA 505: Chlordane and toxaphene, EPA 505: polychlorinated biphenyls (PCBs) as Aroclors, EPA 525: Semi-volatile organic compounds (SVOCs) and pesticides screen, EPA 525 individual SVOC compound, EPA 525: SVOC screen (non-quantitative). 
The CDPHE courier service does not pick up at residential addresses for water testing. 
  • Contact your local public health agency to find out if it is an option to leave samples for couriers at their facility.
The State lab will not ship more than two kits to customers at a time and will not ship to an address that you are not affiliated with. There are no pick up locations for State Lab orders. 

CDPHE will send submission receipt will be sent to the email provided below.


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Email *
Are you a current customer *
If yes, can you provide your Customer ID (000#####)
If you are a returning customer, provide your customer ID. This is not the public water systems ID (PWSID).
You acknowledge that the lab must receive water samples for organic testing within the date ranges listed in the Organics water testing schedule. The State Lab is unable to test samples received outside of these dates and must reject them.

Organics testing occurs once a month. Refer to the schedule for specific tests.
 *
Required
Customer/Contact name *
Facility or business name (If applicable)
Customer shipping address  *
Attention: This address is where bottles will be shipped. We cannot ship to P.O. boxes or to an address you are not affiliated with. There are no pick up locations. If a P.O. box is listed, your order will be canceled.

Customer shipping address 2
(Suite, apt, floor, etc)
City *
State *
ZIP code *
Customer phone number *
How many sites will you be sampling? Complete one chain of custody form per sampling location. *
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