DWES Kit Inventory Logo

  • DWES Kit Inventory

    Drinking Water Emergency Sample

  • The purpose of this inventory is to substantiate the location, contents, and condition of the DWES kits supplied by the DPHHS Laboratory Services Bureau (LSB). The information you provide will also determine if the kits still contain the proper elements and are not damaged.

    In an effort to maintain the knowledge of the kits, their contents, and their intended use in the face of personnel turnover, it is prudent to conduct a yearly location and inventory.  

    The custodian of the DWES kit should be a local or tribal jurisdictional health contact, a jurisdictional sanitarian or environmental health officer, a community water supply operator, a regional HAZMAT Team member, a member of the 83rd Civil Support Team of the MT National Guard, or a member of the Malmstrom Air Force Base 341st Bio Environmental Engineering Flight.

     


    lf your jurisdiction has more than one DWES Kit, please fill out one form for each DWES kit.

  • Please provide the following information.

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  • Are you the Primary or Secondary PHEP person for your jurisdiction?

  • Please provide the name and email of the jurisdiction's primary PHEP contact. 

  • Have you located your jurisdiction's DWES kit? 

  • Please contact Kim Newman at knewman@mt.gov or (406) 444-3068 for assistance.

  • Exterior DWES Kit Examination

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  • * You can break the seal to conduct this inventory. The LSB will provide replacement evidence tape seal(s) prior to the inventory process.

  • Interior DWES Kit Contents Examination

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  • Complete each inventory section. If an item is missing or damaged, please describe it in the comment box below each section.

    (Example: Two one-liter amber glass bottles are missing,)

  • Thank you for completing this inventory.  

     
    The LSB will provide replacement tamper resistant evidence tape, an updated Chain of Custody/Analysis Request form, and new Press-on Zipper bags for the Outside and Inside documents in the quarter prior to the inventory so that the kit can be resealed at the finish of the inventory process.  The LSB will also provide replacements for any noted missing supplies based on the inventory. Please Do NOT reseal the kit until all replacement supplies have been placed in the DWES Kit.

     
    You will receive an email with the information you provided as a receipt of submitting this form.

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