Instructions:

Print this page and fill out the form below.

FAX it to: 985-549-3851 ATTN: Dr. Gary Childers.

 

Alternatively, you can download this pageas a word document and email the information to [email protected].

You will be usually contacted within 24 hours to set up a sampling schedule.

 

Your contact information:

Name:

 

Address:

 

Company name:

 

Phone:

 

FAX:

 

Email:

 

 

Is this a LPDES permit (Yes/No)?

 

What type of analysis will be required (and frequency)?

 

 

 

 

Questions/comments: