|Classification / Identification:|
| ||Form Number:||014-4580-64E||Edition date: ||2017/08 |
| ||Title:||Notice of Adverse Test Results and Issue Resolution|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Public Health|| || |
| ||Program:||Food Safety And Safe Water Unit|| || |
| ||Purpose of Form:||The Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water quality incidents (AWQI).|| || |
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