| #Q001 | administrative | reporting | mandatory | Laboratory Sample Reception Documentation | drinking water | The laboratory must enter the date of reception of the sample on the analysis request form and assign a specific number to it. | Upon receipt of the sample at the accredited laboratory. | high |
| #Q002 | reporting | reporting | mandatory | Pre-forwarding Information Provision | drinking water | The following information must be provided at the time of sampling , prior to forwarding samples to the accredited laboratory that is mandated to analyze them. | At the time of sampling, prior to forwarding samples. | high |
| #Q003 | reporting | reporting | mandatory | Responsible Name and Address Details | drinking water | Name and address of responsible: This section must be carefully filled out. The name and full address of the responsible of the production facility must be listed here. | When filling out the analysis request form. | high |
| #Q004 | reporting | reporting | mandatory | Results Mailing Address Provision | drinking water | Results mailing address (if different from the responsible's address): Information required if the analysis results are to be sent to a different address. | If the analysis results are to be sent to an address different from the responsible's address. | high |
| #Q005 | reporting | reporting | mandatory | Telephone Contact Availability | drinking water | Telephone number: A telephone number where the responsible can be reached at all times must be listed. | When filling out the analysis request form. | high |
| #Q006 | reporting | reporting | mandatory | Production Facility Number Documentation | drinking water | IMPORTANT: The production facility number must be listed on each analysis request form that accompany samples of raw water. | On each analysis request form accompanying raw water samples. | high |
| #Q007 | reporting | reporting | mandatory | Sample Collector Identification Legibility | drinking water | Sampled/measured by: This identifies the sample collector , whose name must be readable. | When filling out the analysis request form. | high |
| #Q008 | reporting | reporting | mandatory | Sample Admissibility Checkbox Requirement | drinking water | This box must be checked on the form for the sample to be admissible . | For raw water samples to be admitted by the laboratory. | high |
| #Q009 | monitoring | operational | mandatory | Raw Water Sampling Timing Requirement | drinking water | It is important that the water sample is collected prior to any treatment or chemical dosage, in compliance with Division II, Schedule 4 of the Regulation respecting the quality of drinking water. | When collecting raw water samples. | high |
| #Q010 | administrative | reporting | mandatory | Analysis Request Form Signature Requirement | drinking water | Signature: In order to comply with section 30 of the Regulation respecting the quality of drinking water, the analysis request form must be signed by the previously identified sample collector . | Before submitting the analysis request form. | high |
| #Q011 | reporting | reporting | mandatory | Specification of Required Analyses | drinking water | Analysis results: The sample collector must specify the type of analyses required. | When filling out the analysis results section of the form. | high |
| #Q012 | reporting | reporting | mandatory | Section 53.0.1 Form Stipulation | drinking water | Raw Surface Water - Sect. 53.0.1: If the sample was collected for the weekly or monthly quality control of raw surface water bacteriology as prescribed by section 53.0.1 of the Regulation respecting the quality of drinking water, the sample collector must so stipulate by checking this box . | If the sample was collected for section 53.0.1 compliance. | high |
| #Q013 | reporting | reporting | mandatory | Section 22.0.1 Form Stipulation | drinking water | Raw Surface Water - Sect. 22.0.1: If the sample was collected for the weekly or monthly quality control of raw surface water bacteriology as prescribed by section 22.0.1 of the Regulation respecting the quality of drinking water, the sample collector must so stipulate by checking this box . | If the sample was collected for section 22.0.1 compliance. | high |
| #Q014 | operational | health | mandatory | Distributed Water Quality Standards Compliance for Non-Monitored Analysis | drinking water | Non- RRQDW monitored analysis : When this box is checked, the analytical sampling results are not included in the regulatory control frequency compliance requirements, but they do have to meet distributed drinking water quality standards. | When the Non-RRQDW monitored analysis box is checked. | high |
| #Q015 | reporting | reporting | recommended | Non-RRQDW Monitored Analysis Usage Recommendation | drinking water | For all distribution systems that are otherwise subject to the control requirement of Chapter III of the Regulation respecting the quality of drinking water, the Non RRQDW monitored analysis box should only be used in specific circumstances, which could include additional sampling collected subsequent to repairs or maintenance at a distribution system and where the sampled water is not intended for human consumption . | For distribution systems otherwise subject to Chapter III control requirements. | high |
| #Q016 | reporting | reporting | mandatory | Electronic Submission of Analysis Results Requirement | drinking water | However, pursuant to section 33 of the Regulation respecting the quality of drinking water, electronic submission of these results to the Ministère SEP system remains mandatory. | Submission of results to the responsible entity. | high |
| #Q017 | prohibition | reporting | mandatory | Sample Collector Writing Prohibition in Laboratory Report Section | drinking water | Test laboratory report : This section is reserved for the accredited laboratory mandated to analyze the samples. The sample collector should not write anything in this section. | When filling out the form. | high |
| #Q018 | reporting | reporting | mandatory | Production Facility Metadata Provision | drinking water | Production facility name: Drinking water production facility names usually begin with the words 'Système d'approvisionnement,' 'Installation de production', 'Poste d'eau potable' or 'Station de purification.' Administrative region: This is the reference region for the municipality where the production facility is located. Municipality: The municipality where the production facility is located. | At the time of sampling, prior to forwarding samples to the accredited laboratory. | high |
| #Q019 | reporting | reporting | mandatory | Sampling Date Reporting | drinking water | Sampling date: This is the reference date for determining sample storage, analysis and results submission deadlines. | At the time of sampling, prior to forwarding samples to the accredited laboratory. | high |
| #Q020 | reporting | reporting | mandatory | Sampling Location Reporting | drinking water | Sampling location: This is the exact address where the sample was collected. . In the case of raw surface water , this could be the name of the water body if separate samples are taken at each water catchment site that feeds the production facility. | At the time of sampling, prior to forwarding samples to the accredited laboratory. | high |
| #Q021 | reporting | reporting | guidance | Laboratory Result Transmission Method Option | drinking water | The accredited laboratory may use the specification grid to send the results of analysis of a given sample to the responsible. | When sending analysis results to the responsible. | high |
| #Q022 | administrative | reporting | guidance | Regional Office Consultation for Required Information | drinking water | Please contact the appropriate regional office of the Ministère to learn what information is required in this section. | Regarding the production facility identification section of the analysis request form. | high |
| #Q023 | prohibition | reporting | recommended | Sample Collector Writing Prohibition in Laboratory Report Section | drinking water | Test laboratory report : This section is reserved for the accredited laboratory mandated to analyze the samples. The sample collector should not write anything in this section. | When filling out the analysis request form. | high |
| #Q024 | administrative | reporting | mandatory | Production Facility Section Completion | drinking water | Production facility: Identification of the drinking water production facility for which the sample is collected. This section must be filled out carefully, since it provides the production facility's administrative identification number. | When identifying the production facility on the analysis request form. | high |
| #Q025 | administrative | reporting | mandatory | Sample Section Completion | drinking water | Sample: This section of the form must be filled out with care, because it legally binds the sample collector. | When filling out the sample information section on the analysis request form. | high |
| #Q026 | prohibition | reporting | recommended | Sample Collector Laboratory Report Restriction | drinking water | Test laboratory report : This section is reserved for the accredited laboratory mandated to analyze the samples. The sample collector should not write anything in this section. | Applies to the sample collector when completing the analysis request form. | high |