Field Application and Forms


The application for initial laboratory certification for field laboratories, instructions for completing this application and the amendment to laboratory certification application may be downloaded by clicking on the following links. 

Initial Laboratory Certification Application     WORD     PDF

Instructions for Completing an Initial Application 

Amendment to Laboratory Certification Application     WORD     PDF


The following forms are provided for field laboratory reference and use. 


Form Revision Date Description
Laboratory Certification Program Evaluation Form  11/14/2018 A form used to evaluate various performance areas within the NC WW/GW LC program including auditor performance, inspection reports and program performance. [Extended Format]
Laboratory Certification Program Short Survey 11/14/2018 A short survey to provide feedback on the services provided by the NC WW/GW LC program. [Short Format]
Example Benchsheet for Field Analyses 10/02/2013 An example of a worksheet used to record the information used to generate field parameter testing results.
Auditor's Checklist for Field Parameters 05/12/2017 The checklist used by NC WW/GW LC auditors during the on-site inspection of laboratories for field parameters.
Regional Field Inspector's Checklist



The checklist used by the regional plant inspectors during the on-site inspection of permitted facilities that maintain field lab certification.

Notice of Finding for Immediate Response (NOFIR) Form  08/01/2014 A form used by NC WW/GW LC auditors during the on-site inspections when a Finding is judged to be severe to the extent that immediate correction or suspension of the action is required. 
Sample Non-conformance Notification


Example of a form that can be used when laboratories submit notification to the NC WW/GW LC program of samples analyzed that do not meet sample collection, preservation or holding time requirements

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