Contact Us We’d love to hear from you Connect with us 064 655 3432 064 695 5187 How to find us Kwagga Street Quaggafontein Bloemfontein 9301 Online Enquiry Contact Form Contact Form Name* First Last Mobile* Email* Message*CAPTCHANameThis field is for validation purposes and should be left unchanged. Close Client Registration Client Registration "*" indicates required fields Email* Password* Enter Password Confirm Password Company Name* Telephone* VAT Number Contact Person* First Last Physical Address* Address Line 1 Address Line 2 City Province ZIP / Postal Code Billing Department DetailsSame details as above? Yes No Name* First Name Surname Email* Telephone* Address* Address Line 1 Address Line 2 City Province ZIP / Postal Code Close Water Intake Form Water Intake Form 1Client Information2Type of Water / Application BATCH # Name First Last Contact Number Email Address Company VAT Number Physical Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date Sampled DD slash MM slash YYYY Time Sampled Hours : Minutes Sample Submitted by SignatureDate Received DD slash MM slash YYYY Time Received Hours : Minutes Sample Received by SignatureType of Water Municipal Sewage Agricultural Borehole SANS 241 Bottled Recreational Other Type of Application Important Documents and Information(Required)You should take note and be aware of the following documents and information that (may) impact you: Terms and conditions QM No. 7.1/R-03 Privacy policy QM No. 5/R-06 Decision rule QM No. 7.8/R-02 COVID-19 SHE plan QM No. 6.3/SOP-05 We have a documented Complaints procedure and complaints can be directed to top management at elsabe@testit-labs.co.za. If you have any questions about your results, please contact Francois at francois@testit-labs.co.za. For financial queries (quotes, invoices or statements) please contact Sunet at admin@testit-labs.co.za We really value your feedback and encourage you to let us know how we're doing via our website (www.testit-labs.co.za/rate-our-service) I have read the above stated. Close Please Rate Us Please Rate Us CoA Number(Required) Your CoA number is a six character code e.g. B23-085How did we do? MessageComments or anything specific we need to know Close Financial sunet@testit-labs.co.za Results francois@testit-labs.co.za Complaints elsabe@testit-labs.co.za
