Drinking Water Bottle Order Form

Complete the form below. When you are finished, click the Submit button. Your request will be processed immediately.

Contact Information
* Please allow a minimum of 3 business days from the date of request
Requested Analytical Result TAT

Complete the form by entering the number of samples requested for each parameter.

Inorganic Parameters
Organic Parameters
(504, 507, 508, 515.1, 525.2, 531.1, 547, 548.1, 549.1)
(Sb, As, Ba, Be, Cd, Cr, Hg, Ni, Se, Tl, F, CN)

(Alkalinity, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chloride, Chromium, Copper, Cyanide, Fluoride, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Nitrate, Nitrite, Nitrite/ Nitrate, pH, TDS, Selenium, Silver, Sodium, Sulfate, Thallium, Zinc)
Gross Alpha
Radium 228
Volatile Organic Chemicals
Synthetic Organic
SOCs (Alachlor, Atrazine, Simazine)
Total Coliform (2 Samples)

** Additional Testing may be required