Use the form below to send a UCMR3 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-UCMR3 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       UCMR3 Method Source # of EPs       EPA 522 Ground Water Surface Water       EPA 537 Ground Water Surface Water       EPA 539 Ground Water Surface Water       EPA 524.3 Ground Water Surface Water       EPA 200.8 Ground Water Surface Water       EPA 300.1 Ground Water Surface Water