| Instructions |
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1) All items indicated in RED are required.
2) If you know your EPA Id, please provide it.
3) An example of the format for the phone number is 603-555-1212.
4) The maximum number of bottles for ANY test is 100.
5) If the type of test required is "OTHER", please provide an explanation in the space allowed.
6) If you require more than 100 bottles for a test or you have other questions, please contact the laboratory directly.
7) Click SUBMIT REQUEST when completed or RESET to clear the form.
8)
After you click SUBMIT REQUEST, please press the Back button on
your browser to return to the entry form. | |
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