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Click here to download generic Chain of Custody forms or general business forms.
Please click here to update your contact information
To print a customized Chain of Custody form for a specific service, please enter the details below and select the 'Submit' button
* indicates required field
Email Address: *
Service:
Service Type:
Laboratory:
If no laboratory selected, Corporate - Cinnaminson, NJ address is used
Company Details
First Name *
Last Name *
Company *  
Address 1 *  
Address 2  
City *   State/Province *  Zip/Postal Code *   
Country
Phone *   Fax   
Project Name/Number  
Please Provide Results *  
Purchase Order  
Comments/
Special Instructions
State Samples Taken *
         Clicking on this button will copy Company Details to Billing Details
Billing Details
* indicates required field
Bill To *  
Address 1 *  
Address 2  
City *   State/Province *  Zip/Postal Code *  
Country
Attention of *  
Phone *   Fax   
Email Address  
Purchase Order  
 

      Please correct the highlighted errors above
Samples which are not completely consumed in analysis are retained in accordance with the sample retention schedule set forth in the pertinent quality assurance module. Any questions concerning these schedules should be directed to the Quality Assurance Department. It is the Client's responsibility to notify the laboratory of any specific requirements for sample storage or extended retention times. Special requests for sample handling and/or retention should be documented at the time of sample delivery, and approved by both EMSL and the Client.