| #Q001 | administrative | reporting | mandatory | Laboratory date and number assignment | drinking water | The laboratory must enter the date of reception of the sample on the analysis request form and assign a specific number to it. | | high |
| #Q002 | reporting | reporting | mandatory | Information provision prior to forwarding | drinking water | The following information must be provided at the time of sampling , prior to forwarding samples to the accredited laboratory that is mandated to analyze them. | | high |
| #Q003 | reporting | reporting | mandatory | Responsible name and address | drinking water | The name and full address of the responsible of the distribution system must be listed here. | | high |
| #Q004 | reporting | reporting | mandatory | Responsible telephone number | drinking water | A telephone number where the responsible can be reached at all times must be listed. | | high |
| #Q005 | reporting | reporting | mandatory | Distribution system number | drinking water | IMPORTANT: The distribution system number must be listed on each analysis request form that accompany samples of distributed drinking water . | | high |
| #Q006 | reporting | reporting | mandatory | Sampling location type selection | drinking water | To ensure the admissibility of a sample, one of the following choices must be selected: Distribution system outermost limits... Distribution system... Reservoir outlet... Water tank truck... | | high |
| #Q007 | monitoring | operational | mandatory | Outermost limits sampling proportion | drinking water | At least 50% of the samples prescribed by section 11 must be collected at the outermost limits of the distribution system. | Samples prescribed by section 11 | high |
| #Q008 | reporting | reporting | mandatory | Return to compliance sample specification | drinking water | When a sample is collected in the specific context of a return to compliance procedure ( section 39 of the Regulation respecting the quality of drinking water), it must be so specified by using this box on the form and stating the type and address of the sampling location. | When a sample is collected in the specific context of a return to compliance procedure | high |
| #Q009 | reporting | reporting | mandatory | Free residual chlorine measurement documentation | drinking water | Pursuant to section 23 of the Regulation respecting the quality of drinking water, the sample collector must note the value of free residual chlorine measured during sampling under section 11 if the distribution system supplies chlorinated water. | If the distribution system supplies chlorinated water | high |
| #Q010 | reporting | reporting | mandatory | Chloramine residual measurements documentation | drinking water | As well, if the distribution system supplies chloraminated water , the sample collector must note measured values of free residual chlorine and total residual chlorine . | If the distribution system supplies chloraminated water | high |
| #Q011 | reporting | reporting | mandatory | On-site measurement submission | drinking water | These on-site measurements are to be submitted along with the results of analysis of the sample. | | high |
| #Q012 | administrative | reporting | mandatory | Analysis request form signature | drinking water | In order to comply with section 30 of the Regulation respecting the quality of drinking water, the analysis request form must be signed by the previously identified sample collector . | | high |
| #Q013 | reporting | reporting | mandatory | Analysis type specification | drinking water | Analysis results: The sample collector must specify the type of analyses required. | | high |
| #Q014 | reporting | reporting | mandatory | Microbiology Section 11 check box | drinking water | If the sample was collected for the purpose of microbiology quality control in distributed water as prescribed by section 11 of the Regulation respecting the quality of drinking water, the sample collector must so stipulate by checking this box . | If the sample was collected for the purpose of microbiology quality control in distributed water as prescribed by section 11 | high |
| #Q015 | reporting | reporting | mandatory | Atypical colonies measurement provision | drinking water | If analysis is based on count, the laboratory must also provide its measurements of atypical colonies, which is not required if analysis is based on the presence/absence method. | If analysis is based on count | high |
| #Q016 | administrative | reporting | mandatory | Complete regulatory control results | drinking water | IMPORTANT : In order for a sample to be deemed complete for regulatory control frequency compliance requirements , the analytical results must cover all parameters targeted by the specific type(s) of analysis listed on the request form, in addition to results of on-site measurements , if any. | | high |
| #Q017 | prohibition | reporting | mandatory | Non-RRQDW monitored analysis box prohibition | drinking water | This box must not be checked for samples collected for the purposes of a return to compliance procedure ( section 39 of the Regulation respecting the quality of drinking water). | For samples collected for the purposes of a return to compliance procedure | high |
| #Q018 | reporting | reporting | mandatory | Electronic submission of results | drinking water | However, pursuant to section 33 of the Regulation respecting the quality of drinking water, electronic submission of these results to the Ministère SEP system remains mandatory. | | high |
| #Q019 | prohibition | reporting | mandatory | Test laboratory report section restriction | drinking water | Test laboratory report : This section is reserved for the accredited laboratory mandated to analyze the samples. The sample collector should not write anything in this section. | | high |
| #Q020 | administrative | reporting | mandatory | Collector name readability | drinking water | Sampled/measured by: This identifies the sample collector , whose name must be readable. | | high |
| #Q021 | reporting | reporting | mandatory | Results mailing address | drinking water | Results mailing address (if different from the responsible's address): Information required if the analysis results are to be sent to a different address. | if the analysis results are to be sent to a different address | high |
| #Q022 | operational | reporting | recommended | Non-RRQDW monitored analysis box usage guidance | drinking water | For all distribution systems that are otherwise subject to the control requirement of Chapter III of the Regulation respecting the quality of drinking water, the Non RRQDW monitored analysis box should only be used in specific circumstances, which could include additional sampling collected subsequent to repairs or maintenance at a distribution system and where the sampled water is not intended for human consumption . | For all distribution systems that are otherwise subject to the control requirement of Chapter III of the Regulation respecting the quality of drinking water | high |