Cleveland Range
Water Sample Analysis
Water Sample Request
Submit your water sample information below. Our lab partner Omnipure will process your sample and contact you with results within 5–7 business days. Fields marked * are required.
Cleveland Range
A Welbilt Brand — Water Sample Analysis Program
Customer Contact
Name
Email
Phone
Sample Location
Business / Location Name
Address
Equipment Details
Steam Generation Type
Model Number
Serial Number
Manufacturer
Cleveland Range
Sample Collection Point
Date Sample Collected
Notes / Additional Information
Mail Water Sample To
Omnipure Filter Co.
1904 Industrial Way
Caldwell, ID 83605
1904 Industrial Way
Caldwell, ID 83605
Instructions
1. Collect water sample in a clean container (min. 500mL)
2. Print and include this form with your sample
3. Write your Request ID on the sample container
4. Ship via standard mail or courier
5. Results returned within 5–7 business days
2. Print and include this form with your sample
3. Write your Request ID on the sample container
4. Ship via standard mail or courier
5. Results returned within 5–7 business days
Customer Signature
Date