Thank you for contacting Phase Separation Science *Required Fields Name * Company Name * Phone * Email * Street Address Address - Second Line (if needed) City State Zip How Can We Help? Feel free to ask a question or simply leave a comment. Comments / Questions If you are excited about joining a staff of capable environmental chemists in a dynamic laboratory setting and would like to submit a resume, follow the directions below. We are an equal opportunity employer and are committed to a diverse, inclusive workplace. Please attach your cover letter and resume here. Name * Email address * Upload Your Resume This request is valid only after email confirmation. To place stock container order follow the steps below Step One: Enter your Contact and Project information. * Required information Name* Company Name* Email* Phone (if not on file) Project Name / Number (for billing purposes) Project Manager (for billing purposes) P.O. Number (if applicable) Step Two: Select Pickup or Delivery and fill out date, time and, if applicable, delivery location and site contact. Please note that our complimentary courier service requires that the delivery can be made anytime between 9AM and 5PM. Deliveries on other time frames can be accommodated to meet sampling schedules or project requirements, but these services will normally incur an additional cost. Pickup Date Delivery Date Pickup From OfficeSite Pickup Time Delivery Time Site Delivery Address* City* State* —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code* Site Contact Name Site Contact Cell Step Three: Select items and quantity. Image of Item Description Order Quantity 2 oz jars case (24) 4 oz jars case (24) Liter Amber case (12) 40ml Vial Hydrochloric Acid case (72) 1 L glass wide mouth 1 L plastic 250ml plastic Terra Core Kit for VOCs or TPH GRO (contains 1 methanol vial & 2 sodium bisulfate vials) $15.00/ea Terra Core Plus Kit for VOCs and TPH GRO (contains 1 methanol vial & 4 sodium bisulfate vials) $20.00/ea Medium Cooler (approx. 19"w x 11"d x 13"h) Chain of Custody Forms Labels Custody Seals Deionized Water - 1 liter glass container$10.00/ea Tubing (1/8" ID x 1/4" OD) (Specially cleaned for TO-15 subsurface sample collection) $2.50/foot Comments / Questions This request is valid only after email confirmation. Please take a moment to help us improve your experience at Phase Separation Science Please Answer the Following Turn Around Times Timeliness of return phone and/or email? Above ExpectationsAt ExpectationsBelow Expectations Timeliness of courier service? Above ExpectationsAt ExpectationsBelow Expectations Timeliness and completeness of bottle order delivery? Above ExpectationsAt ExpectationsBelow Expectations Timeliness of results and data packages? Above ExpectationsAt ExpectationsBelow Expectations Report/Data Final report/EDD format appearance? Above ExpectationsAt ExpectationsBelow Expectations Invoice accuracy and clarity? Above ExpectationsAt ExpectationsBelow Expectations Did the report/data meet your project requirements? Above ExpectationsAt ExpectationsBelow Expectations Overall Do our operation hours meet your needs? Above ExpectationsAt ExpectationsBelow Expectations Overall courier service? Above ExpectationsAt ExpectationsBelow Expectations Overall customer service? Above ExpectationsAt ExpectationsBelow Expectations Optionally How can we improve to meet your expectations? Are there any additional services you'd like to see offered? Client name / Contact information: To schedule a pickup follow the steps below: Step One: Enter your Contact and Project information. * Required Information Name* Company Name* Email* Phone (if not on file) Date of Request Step Two: Enter the date, time and location of the sample pickup (if other than office or if there are multiple office locations). Please note that our complimentary courier service requires that the pickup can be made anytime Between 9AM and 5PM. Pickups on other time frames can be accommodated to meet sampling schedule or project requirements, but these services will normally incur an additional cost. Sample Pickup Requirements Pickup Date Pickup Time Any Time Pickup From OfficeSite Pickup Address (if not on file or if site pickup) City State —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Site Contact for Sample Site Contact Mobile Step Three: Specify number of samples, sample matrices, requested analyses and TAT. No. of Samples (1-200) Sample Matrix Analyses Requested TAT Requested —Please choose an option—AirSoilGround WaterSurface WaterDrinking WaterWaste WaterOilWaste LiquidWaste SolidWipe —Please choose an option—10 Day5 Day3 Day2 DayNext DayEmergency —Please choose an option—AirSoilGround WaterSurface WaterDrinking WaterWaste WaterOilWaste LiquidWaste SolidWipe —Please choose an option—10 Day5 Day3 Day2 DayNext DayEmergency —Please choose an option—AirSoilGround WaterSurface WaterDrinking WaterWaste WaterOilWaste LiquidWaste SolidWipe —Please choose an option—10 Day5 Day3 Day2 DayNext DayEmergency —Please choose an option—AirSoilGround WaterSurface WaterDrinking WaterWaste WaterOilWaste LiquidWaste SolidWipe —Please choose an option—10 Day5 Day3 Day2 DayNext DayEmergency Other Requests or Comments Step Four: Submit your request. This request is valid only after email confirmation.
