|Classification / Identification:|
| ||Form Number:||012-4444E||Edition date: ||2018/08 |
| ||Title:||Notice of Adverse Test Results and Issue Resolution (Schedule 16)|
| ||Ministry:||Environment, Conservation and Parks|| || |
| ||Branch/ABC:||Safe Drinking Water Branch|| || |
| ||Program:||Director’s Office|| || |
| ||Purpose of Form:||Filled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters.|| || |
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