Note: required information is marked with an
*
. Quotes will be emailed.
*
Your Name
*
Company Name
*
Street Address
P.O. Box
*
City / State / Zip
*
Telephone Number
*
Email Address
*
Re-enter Email Address
Fax Number
Analytical Parameter(s)
(if you are not sure please call the laboratory 319/335-4500)
Analytical Method(s)
(optional - if you want or are required to have the analysis run by a certain method, please list it here)
*
Number of Samples
*
Type of Sample
(if other, please specify)
Drinking Water
Wastewater
Soil
Foliage
Other
*
Desired Turn Around Time
(if other, please specify)
Routine (10-14 days)
1 week (50% surcharge to price)
48 hours (100% surcharge to price)
Other
Other Information or Comments