Welcome! to FAIRWAY LABORATORIES

Bottles Request

Fill out the form below and we will get your bottles ready.

*Your Name:
*Company Name:
*Address:
*Phone:
Email Address:
*Date and Time that bottles are due to me:  (mm/dd/yy  hh:mi am)
*Please pick delivery method I will pick up at the laboratory Hand delivered from Us Ship via US Mail Ship via UPS Ground Ship via FedX 2 Day Ship via FedX 1 Day
Please pick any additional supplies/services: Extra Labels Extra Chain of Custody Forms Coolers Trip Blanks Temperature Blanks Custody Seals Pack bottles by sets Bottleware COC required Project Specific Labels
Your Project Name or Location:

*Bottles Required
Example:

No. of Samples	Matrix	Analysis Parameters/Methods
12	Groundwater	8260 VOC's, Lead, Mercury
5	Soil	TCLP Metals
No. of Samples	Matrix	Analysis Parameters/Methods
Additional notes/comments to the laboratory: