Information Detail

First Name *

Last Name *

Prior SSW Contact

Company / Division *

Your Email *

Payment Type
Visa/MasterCard (processing details sent with invoice)P.O.Standing P.O.Other (please communicate directly with SSW)

Your Purchase Order Number

Turnaround Requested *
Normal5 Day3 Day1 Day

Normal (Results generally within 10-15 business days of sample receipt)
5 Day - 25% Surcharge (Minimum verbal report within 5 business days of sample receipt)
3 Day - 50% Surcharge (Minimum verbal report within 3 business days of sample receipt)
1 Day - 100% Surcharge Minimum verbal report within 1 business day of sample receipt)

Description of Samples/Quantity/Analysis Details *

Will communicate with SSW staff to describe details

Return Samples After Analysis *
NoYes (shipping charges will be added to invoice)Yes (collect - please communicate courier account #)
(N.B. samples will be disposed of 60 days after analysis unless otherwise advised)

Materials Specific Regulatory Requirements
RadioactiveBio-hazardousToxicDangerous goods (MSDS datasheet required for all applicable substances)


Click here for Sample Submission and Return Guidelines
Samples and area(s) of analysis should be clearly marked and labeled.
International shipments should be valued at $1.00 USD. Collect shipments will be accepted, however any customs/brokerage/courier charges will be billed back to the client.

[honeypot honeypot-675]