Private water sampling quote

Fields marked with * are required
Label
1. Would you like to accept the quote?*
  
  Yes
  
  No
Declined quote
1. Your name
2. Email address
3. Quote Reference Number
  This is the 'Ref number:', it can be found at the top of the appointment letter.
4. Privacy statement
  
  Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.
  
  In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.
  
  The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.
  
  More detailed information about the Council's handling of your personal data can be found in our privacy policy.
5. Please provide the results of sampling conducted by an accredited private company, refer carefully to the links below for information on accreditation and acceptable samplers and labs.
  These results should be emailed to eh.bst@breckland.gov.uk
  For more information, please view the links below:
  
  https://www.dwi.gov.uk/private-water-supplies/local-authorities/analytical-services/
  
  https://www.breckland.gov.uk/article/3247/Drinking-water-quality
Acceptquote
1. Your name
2. Name of business (if applicable)
3. Sampling address
  1. Postcode
  3. Find Address
  4. Address 1
  5. Address 2
  6. Town
  7. Postcode
  8. Please pinpoint the location of the Site
    
    Please enter a nearby UK postcode, or street name and area and press search
  9. Please add any details that will assist in locating the property
    You can enter up to 2000 characters
4. Your contact details
  1. Phone number
  2. Email address
5. Are you completing this form on behalf of someone else?
  
  Yes
  
  No
6. Assisted service details
  1. In what capacity are you completing this form?
    
    CC Staff
    
    Agent/Solicitor
    
    Relative/Friend
    
    Carer
    
    Other
  2. Contact details
    
    Name of person completing this online form
    
    Email of person completing this form

Last updated: 31/01/2024 09:34:35

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Private water sampling quote

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