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Bottled Water Monthly Operation Report. Record daily sample results of bottle water production - health ny 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the name of your bottled water facility, the month, and year at the top of the form. Ensure that you include your NYSHD Certification number.
- In the 'Production Bacteriological Samples' section, record daily production in gallons for each day of the month. Fill in the plate count for coliform samples as required.
- Complete the 'Source/Process Control' section by indicating treatment variations and source of supply used during the month.
- Indicate whether production was for New York State only or total plant production, and specify container sizes and quantities.
- Finally, sign as the sampler and review all entries for accuracy before submitting.
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