Sample compliance binder

This is what your
binder looks like.

A 12-chair DSO, three states, one quarter of HPC results, replacement logs, and CDC variance notes. Generated automatically. Inspector-ready.

Price your binder

Get the DSO version mapped to your chairs.

Start with chair count, state scope, and testing cadence. The quote form opens with those details already carried forward.

So we can send the binder and answer compliance questions. No marketing list.

Preview

Four pages. Cover, HPC results, cartridge log, compliance summary.

If the preview does not load in your browser, download the PDF directly.

Inside the binder
Heterotrophic plate counts, per chair, per month

CDC dental waterline guidance is 500 CFU/mL or below. The sample shows 12 chairs, three months, one failure caught and corrected within 14 days, well inside the 30-day CDC window.

Cartridge replacement log with NSF chain

Pentair Everpure SKUs, NSF/ANSI 53 and 42 certificate numbers, install dates, replacement reason, tech initials. The same record a state inspector wants to see.

State variance notes

California, Nevada, and Arizona each have different thresholds and additional testing requirements. The binder calls them out so a multi-state DSO does not have to.

Sign-off block

A reviewer signature line, a date line, and a labelled box for state inspector use. This is the form factor a real inspection wants.

Want one for your DSO

Send your equipment list. Get a real number back before lunch.

This is a sample. The fictional Brightway Dental Group is a placeholder. Your actual binder pulls from your own chairs, your own cartridge replacement events, and your own state’s compliance rules.

Sample compliance binder · Aegis Filtration · Aegis Filtration