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Project Location (State)

Select the state where samples will be collected

Sample Collection Date

Projected start date of sample collection

Company Address

Company

Sample Matrix No. 1

Select and complete the following two sections for each sample matrix

List the Sample Parameters and the Number of Samples you'll be collecting (including number of Field QC samples)

(example: VOCs (24), PFAS (10), PCBS (15)

Turnaround Time (TAT) Requested

Please select your requested TAT in Business Days

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PFAS
Data Report

Please select your desired analytical report format

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