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Field Application and Forms

Applications

Initial Application: WORD or PDF

(Necessary steps for gaining initial certification can be found at the Field Laboratory Certification page of this website.)

Click here for guidance in completing the initial application.

Application for Amendment to current Laboratory Certification:    WORD     PDF

Forms

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]
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

04/26/2018

A checklist that can be 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

07/15/2019

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

If you see something that should be corrected or have any questions about the content of the site, contact the site administrator; or (919) 733-3908 x259.