HRGC/MS Bottle Request

Our online HRGC/MS Bottle Request form offers you an easy way to place an order. This system helps you to improve and speed up your order. Once you complete the fields below and click SUBMIT a request will be generated at the UltraTrace laboratory and you will receive an email confirmation upon assignment of an SGS Project Number.

Fields marked with an asterisk (*) are mandatory.

ORDER PLACED BY

Contact Name *

Company *

Email *

SHIP TO

Primary Office Address *

ALTERNATE DELIVERY ADDRESS

Contact Name

Company

Street

Street 2

City

State

Zip Code

Phone

PROJECT INFORMATION

Client Project ID *

Client PO #

Date of Request

Bottle Delivery Date *

ANALYSES

Type of Analysis

Quantity

Matrix

Bottle Size

Additional Details for Analyses

ADDITIONAL SUPPLIES

DI Blank Water (1L)

Temp. Blanks

Blank COC Forms

Gloves (inc)

Labels (inc)

Custody Seals (inc)

Ziplock Bags (inc)

SPECIAL ORDERS - You will be contacted by someone from the lab to complete these order kits.

Wipe Test Kit

Client Specific Instructions

I agree that SGS can use my data for the purposes of dealing with my request, in accordance with the SGS Online Privacy Statement. *