Public Drinking Water Branch

Request For Additional Sampling Bottles For Bacteriological Water Analysis

This online form can be used in place of the enclosed postcard that comes with your sample bottles.

These bottles are sent via UPS to the Sampler, or SA, that we have listed in our database. If you need to verify the contact information we have is current (change of personnel, address, telephone number, etc.), use the link /DWW to check our data. If we do need our contact information updated, check yes for Contact Changes and enter the correct data below. If you have questions, call the Missouri Department of Natural Resources Public Drinking Water Branch at 573-526-3832.

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Contact Changes:  Required field image     (If you have checked 'Yes' then Sampler Name, Address 1, City, Zip Code and Phone are required )

  

  

  

              

   (special orders, extra supplies needed, past problems, etc.)

When to reorder:

Samples Collected

  • 1 per month
    • Minimum Supply - 4 bottles
  • More than 1 per month
    • Minimum Supply - 2 month supply
  • All Triggered Ground Water Systems should reorder when they are down to five water sample bottles.

There were errors on the form, please make sure all fields are fill out correctly.