Please fill out the form below and select the type of test you would like.
  
Company Name

First Name:

Last Name:

Phone Number:

Fax Number:


Packages Desired
Standard Water Test- $60.00
Standard Plus Arsenic- $85.00
Safety Test- $40.00
FHA/VA Loan Water Test- $90.00
Radon In Air- $30.00
Job Number:

Mailing Address:

E-mail:

City, State:

Zip Code:


   
Comprehensive Water Test- $125.00
Comprehensive Plus Radon- $150.00
Volatile Organics (VOC's)- $160.00
MTBE- $100.00
Uranium- $35.00

Additional Notes or Tests: