Company Name:

All Counties HVAC Limited

ADEY Ltd. Instructions for use:

01795 859 623 Telephone No: 1. Sample the system using the bottles provided, in accordance with
[email protected] Site Details BS:8552:2012, and label them appropriately.
www.adey.com Site Name: Job No:
ϱEĞǁ^ƚƌĞĞƚ^ƋƵĂƌĞ 2. Fill in this form completely and return, with the bottles, to the
Kent Science Park Purchase Order No:
laboratory or drop-off point as soon as possible.
Sittingbourne Additional Ref: Engineer: ůĞdžtĂůů
ME9 8HL Contact Name: Contact Email: ĂůĞdžΛĂůůĐŽƵŶƚŝĞƐŚǀĂĐ͘ĐŽ͘ƵŬ
Sample References Microbiological Testing Chemical Testing Other Lab Use Only
ADM12 ADM01 ADM02 ADM05 ADM06 ADLEG ADC01 ADC05 ADC09 ADC10 EG

(Monitoring/Practical Comp/Validation)

(TVC 22°C/37°C, E.Coli, Coliforms, Pseud)

(7 Days After Pre-Com Clean) (4xSRB,

(7 Days After Pre-Com Clean) (21 day

(21 day SRB, NRB, 22°C TVC, Pseuds

BSRIA - BG29/2021 - Table 4

BSRIA - BG29/2021 - Table 4

BSRIA - BG29/2021 - Table 6

(7 Days Afterr Clean/Prac. Comp.)

(TVC 22°C/37°C, E.Coli, Coliforms)

BG29/2012 - Table 4 / 5PC

Sample Type

SRB, 22°C TVC, Pseuds 100ml)

BG29/2012 - Table 5M
Disinfection - BS6700

Disinfection - BS8558

BG29/2012 - Table 8
(Monitoring/Validation)
TVC 30°C, Pseuds 1ml)

(Fill Water Quality)

Ethylene Glycol
Temperature
Sample Date

Full Chemistry
(1 Litre required)
Drinking Water

Legionella sp.
Time Taken

Ground Water
Surface Water
Trade Effluent
Recreational
Process

Solid

Sample Reference Comments: Sample No:

This form acts as a contract of analysis required, please complete correctly and legibly.

Lab Use Only

Logged By: Date: Job Number:
All samples will be analysed and tested in accordance with Adey’s Water Testing Terms and Conditions which can be found at www.adey.com/termsandconditionsofcommercialtesting ID: ADY-FORM-087 Owner: C.Hardie Vers: 3.0 Iss: 10/07/2019