| #Q001 | administrative | reporting | mandatory | Laboratory Sample Reception Form Requirements | 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. | Upon reception of the sample by the accredited laboratory. | high |
| #Q002 | reporting | reporting | mandatory | Pre-forwarding Information Provision | 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. | At the time of sampling, prior to forwarding samples to the laboratory. | high |
| #Q003 | reporting | reporting | mandatory | Responsible Name and Address Listing | 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 Listing | 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 Reporting | drinking water | IMPORTANT: The distribution system number must be listed on each analysis request form that accompany samples of distributed drinking water . | When submitting samples of distributed drinking water. | high |
| #Q006 | reporting | reporting | mandatory | Admissible Sampling Location Choices | drinking water | To ensure the admissibility of a sample, one of the following choices must be selected: Distribution system outermost limit, Distribution system, Reservoir outlet where the tank truck is supplied with water, or Water tank truck. | When identifying the type of sampling location for distributed water samples. | high |
| #Q007 | reporting | reporting | mandatory | Back to Compliance Sample Specification | drinking water | When a sample is collected in the specific context of a return to compliance procedure ( section 40 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 |
| #Q008 | administrative | reporting | mandatory | Sample Collector 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 |
| #Q009 | reporting | reporting | mandatory | Analysis Type Specification | drinking water | The sample collector must specify the type of analyses required. | | high |
| #Q010 | reporting | reporting | mandatory | Quarterly Organics Control Stipulation | drinking water | If the sample was collected for the quarterly control of pesticides and other organic substances in distributed water as prescribed by section 19 of the Regulation respecting the quality of drinking water, the sample collector must so stipulate be checking this box . | If the sample was collected for the quarterly control of pesticides and other organic substances. | high |
| #Q011 | monitoring | reporting | mandatory | Mandatory Organics Parameters Analysis | drinking water | Analysis of the following parameters is mandatory ( Schedule 2 ): Pesticides: Atrazine and its metabolites, carbaryl... Organic substances: 1,1-Dichloroethylene... | When the sample is collected for the quarterly control of pesticides and other organic substances (Organics - Sect. 19). | high |
| #Q012 | reporting | reporting | mandatory | Trihalomethanes Control Stipulation | drinking water | If the sample was collected for the quarterly or annual control of trihalomethanes in distributed water as prescribed by section 18 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 quarterly or annual control of trihalomethanes. | high |
| #Q013 | monitoring | reporting | mandatory | Mandatory Trihalomethanes Parameters Analysis | drinking water | The parameters to be analyzed are as follows: bromodichloromethane , bromoform , chloroform and chlorodibromomethane . | When the sample is collected for the quarterly or annual control of trihalomethanes (Trihalomethanes - Sect. 18). | high |
| #Q014 | monitoring | reporting | mandatory | Regulatory Sample Completeness Rule | 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. | For a sample to be deemed complete for regulatory control frequency compliance requirements. | high |
| #Q015 | prohibition | reporting | mandatory | Non-RRQDW Box Prohibition for Compliance Return | 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). | When a sample is collected for the purposes of a return to compliance procedure. | high |
| #Q016 | 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 |
| #Q017 | reporting | reporting | guidance | Use of Specification Grid | drinking water | The accredited laboratory may use the specification grid to send the results of analysis of a given sample to the responsible. | | high |
| #Q018 | prohibition | reporting | recommended | Test Laboratory Report Section Restriction | drinking water | The sample collector should not write anything in this section. | Regarding the Test laboratory report section. | high |
| #Q019 | reporting | reporting | mandatory | Results Mailing Address Requirement | 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 than the responsible's address. | high |
| #Q020 | reporting | reporting | mandatory | Sampling Date Requirement | drinking water | Sampling date: This is the reference date for determining sample storage, analysis and results submission deadlines. | Must be provided at the time of sampling on the form. | high |
| #Q021 | reporting | reporting | mandatory | Sampling Location Requirement | drinking water | Sampling location: This is the exact address where the sample was collected. | Must be provided at the time of sampling on the form. | high |
| #Q022 | reporting | reporting | mandatory | Sample Collector Readable Name Requirement | drinking water | Sampled/measured by: This identifies the sample collector , whose name must be readable. | Must be provided at the time of sampling on the form. | high |
| #Q023 | operational | treatment | mandatory | Non-RRQDW Monitored Analysis Standards Compliance | drinking water | Non- RRQDW monitored analysis : When this box is checked, the analytical sampling results are not included in the regulatory control frequency compliance requirements, but they do have to meet distributed drinking water quality standards. | When the Non-RRQDW monitored analysis box is checked. | high |
| #Q024 | reporting | reporting | recommended | Non-RRQDW Monitored Analysis Box Usage Condition | 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 distribution systems subject to Chapter III control requirements. | high |
| #Q025 | monitoring | reporting | mandatory | Mandatory Organics Parameters Analysis (Full List) | drinking water | Analysis of the following parameters is mandatory ( Schedule 2 ): Pesticides: Atrazine and its metabolites, carbaryl, carbofuran, chlorpyrifos, dichloro-2,4- phenoxyacetic acid(2,4-D), diazinon, dicamba, diquat, diuron, glyphosate, metolachlor, metribuzin, paraquat (in dichlorides), picloram, simazine and trifluralin Organic substances: 1,1-Dichloroethylene, 1,2-Dichlorobenzene, 1,2-Dichloroethane, 1,4- Dichlorobenzene, 2,3,4,6-Tetrachlorophenol, 2,4,6-Trichlorophenol, 2,4-Dichlorophenol, benzo(A)pyrene, benzene, monochlorobenzene, vinyl chloride, dichloromethane, pentachlorophenol, carbon tetrachloride, tetrachloroethylene and trichloroethylene. | When the sample is collected for the quarterly control of pesticides and other organic substances (Organics - Sect. 19). | high |