Environmental laboratory Services, Inc.

Request for Quotation for Laboratory Services
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Quote Due Date *	Do you have an account with ELS?* Yes No

Project Information

Project Name:*
Analysis Request :*
Quantity *	Matrix *		Analysis/Methods *

Are project-specific reporting limits required? If so please fax to 724-652-3814	Yes No
Does a site specific QAPP (Quality Assurance Project Plan) exsist?	Yes No
Please list any certification requirements:
Please list any regulatory agency requirements:
Data Delivery Options:
Faxed Results? If no, hard copy will be sent in mail.	Yes No
Will your project require?
Sample Containers (Field Chain of Custody is provided)
Trip Blanks
EnCore Samples
Methanol Vials
Field Blanks
DI Water
Coolers
Courier Pick-up
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