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Proficiency Testing Services Request Form
* First Name:
* Last Name:
* Company Name:
* Address:
Suite #:
* City:
* State:
* Zip:
* Phone:
* Email:
What types of PT samples are of interest to you?:
Explosives
TIC/TIM
Toxins
Pathogens
Other
What types of analytical methodology are you interested in challenging?:
GC-MS
LC-MS
Direct Infusion MS
IR/FTIR
Microscopy
PCR
Immunoassay
Other
What is the spike level of interest?:
low ppb
high ppb
low ppm
high ppm
other
What types of sample matrices are of interest to you?:
Powders
Liquid
Soil
Sludge
Vegetation
Other
How soon will you need the PT samples?:
In 1-3 months
In 3-6 months
In 6-12 months
In 1-2 years
Other
If other, please specify :
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*Verification code: