Format	Form Link Address	Functionality	Size
Microsoft Word	Laboratory Services Notification (LSN)	Fill, Print & Save	146.0 kb

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Form Classification / Identification:
	Form Number:	014-4578-64E	Edition date:	2008/11
	Title:	Laboratory Services Notification (LSN)
	Ministry:	Health and Long-Term Care
	Branch/ABC:	Public Health
	Program:	Food Safety And Safe Water Unit
	Purpose of Form:	The Laboratory Services Notification (LSN) form is to be used by small drinking water system owners/operators to notify the local public health unit in writing as to which licensed laboratories will test drinking water samples for their small drinking water systems.

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Last Modified: May 21, 2013