Request for Quotation for Environmental Sciences
Fields marked with a red * are required.

*Name:

*Quote Due Date:

*Company: Do you have an account
with Lancaster Labs?		 Yes
No
*e-mail:
*Street addr.:
*City:

*State:

*ZIP:

*Phone: *Fax:
Project Information:
*Project name:

*Project location (State): *Start date: * End date:

Analysis Request:


*Quantity
*Matrix


*Analysis/Method/List

*Turnaround
Time

Are project-specific reporting limits required? Yes   No
If yes, please fax to 717-656-2681.

Does a site specific QAPP (Quality Assurance Plan) exist? Yes   No

Please list any certification requirements:

Please list any regulatory agency requirements:

Data Deliverable Options:

· Faxed results? Yes No
· e-mail results? Yes No
If yes, please choose one   Microsoft Word   Microsoft Excel   .pdf
If no, hardcopy will be sent in mail.
· *Do you need a data package? Yes No
If yes, choose type QC Summary/Lab Chronicle
Type I/New Jersey Regulatory/Full Non-CLP
Reduced non-CLP/NJ Reduced
Full CLP (CLP methods only)
Reduced CLP
Raw Data Only
Would you like the data package provided on CD-ROM? Yes No
· Electronic deliverable Yes No
If yes, choose type NJDEP SRP HazSite
EarthSoft's EQuIS
ASCII Comma Delimited
ASCII Tab Delimited
ASCII Fixed Length
Microsoft Excel (.xls)
Microsoft Access (.mdb)
Other, please specify:
· Delivered by? e-mail diskette (3½²)

Will your project require?

Internal Lab Chain of Custody

Sample Containers (Field Chain of Custody is provided)

Trip Blanks

EnCore samplers

EnCore T-Handle

Methanol Vials

Field Blanks

DI Water

Coolers

Courier Pick-up

Comments:

Thank you for requesting a quotation. We will respond as quickly as possible.

Do you want to send this request to a particular individual at Lancaster Labs?

If no, skip these fields and press Submit below.

If yes, type e-mail address here:

If you do not know the e-mail address, type the name here: