MASI Environmental Labs

Client Information

MASI Client # (CN) *

Client Name *

Person Requesting Container / Bottle Order

Office / Plant Phone#

Cell Phone #*

FAX#

Email address *

This email address will be used for your order confirmation.

Shipping / Delivery Information

Please supply the shipping or delivery address below.

Address 1 *

Address 2

City *

State *

Zipcode*

Please Check if this address is different from the Client Address

Do you wish MASI to ship it per UPS or deliver it by the MASI Route Driver?

If shipped by UPS, there is a Shipping & Handling Fee of:
$20.00 for Ground
$70.00 for Overnight

If you want it delivered by a MASI Route Driver, please note when your next scheduled pick up is and the name of your driver (if you know) in the box below.

Needed Containers / Bottles

Please indicate what tests and how many you wish to run, and MASI will send you the correct number and types of container(s) along with the necessary Analysis Request (AR) Sheet(s)

POTABLE

Microbiological (Example: TC 5)

POTABLE

Chemical (Example Nitrate 1 or Hardness 3)

WASTEWATER

Non-Potable (Example CBOD 2 or FC 4 or SS 1)

SLUDGE

(Example: TCLP 2 or FC 2)

Please feel free to include any comments or notes in the following box.

Just click "submit" once. It may take a couple of minutes, but you will get a confirmation message.

Container orders

Client Information

Shipping / Delivery Information

Needed Containers / Bottles

POTABLE

POTABLE

WASTEWATER

SLUDGE