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Use the form below to send a UCMR2 Bottle Request to Basic Laboratory, or contact us by phone, email, or mail directly using the information on the right. If you need to order non-UCMR2 bottles, please use our regular bottle request page. 
 
All fields in bold must be completed:

First Name
Last Name
PWS Name
Address Line 1
Address Line 2
City
State
ZIP Code
Phone 1
Phone 2
Fax
E-Mail
Project Name
P.O. Number
Date Bottles Needed
Date of Sampling
Please check the boxes below for each test method you need completed. Check the correct source, either groundwater, surface water, or both. Enter the total number of sites for each source. Click “Send My Request” below to complete this form and send it to Basic Laboratory.
Assessment Monitoring List 1       UCMR2 Method Source # of EPs       EPA 527 Ground Water Surface Water       EPA 529 Ground Water Surface Water   Screening Survey List 2       UCMR2 Method Source # of EPs       EPA 525.2 Ground Water Surface Water       EPA 535 Ground Water Surface Water       EPA 521 Ground Water Surface Water