TC PWS Reporting

Are you an ELAP Certified Lab submitting these results?*(?)field type radio button
Are you an ELAP Certified Lab submitting these results?YesNo

Lab Information Section

At the bottom of this form you will have the option to email the test results along with a copy of this form to the Owner and/or Operator of the Facility for which you are submitting.
ELAP ID #*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Lab Name*field type single line
Modify your laboratory information as needed if it does not populate accurately
Input blocked. Maximum character limit of 4000 characters reached.
Is this a new lab or has the lab name changed?field type radio button
Is this a new lab or has the lab name changed?New LabLab Name ChangeNo

Do you know the Facility Name?*(?)field type radio button
Do you know the Facility Name?YesNo
Facility*field type drop-down
Please select your facility
Enter your PWS ID(?)field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Enter Facility Address or something to identify who you are reporting these results for*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

It is preferred that you upload submission types individually, but you may upload multiple if they are all in one report.

Submission Type

Month

Year

Upload Lab Report

Optional Selection

Row 1

Submission Type

Month

Year

Upload Lab Report

Drop files here

Optional Selection

Report Not CompleteSample Not TakenNot in OperationOther

You may submit more than one report or result at a time, just click the link below the table to add another Report/Result.
Please make sure you select the correct submission type, month and year.

Operator Email*field type email
Modify your email information as needed if it does not populate accurately
Owner Email*field type email
Modify your email information as needed if it does not populate accurately

Submitter Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Submitter First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Submitter Email Address*field type email
Email Receipt to:field type checkbox
Select who you would like a receipt of this submission emailed to. Select as many or as few as you would like.
Email Receipt to:OperatorOwnerSubmitter

Hidden PWSIDfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Current Userfield type single line
Input blocked. Maximum character limit of 4000 characters reached.