Bottle Order

    Step 1: Basic information

    Today's Date*

    First Name*

    Last Name*

    Company / Organization*

    Email*

    Phone Number*

    Step 2: Project details

    Project Name

    Project Number

    Project State

    State if "Other"

    Site Address

    City

    State

    ZIP

    PWS ID if applicable

    Expected Job Dates

    Start

    Finish

    Refer to Previous Bottle Order/Quote/Job. EAI #

    Additional Instructions

    Step 3: Delivery information

    Date Needed

    Bottle Delivery Options
    EAI CourierI Will Pick UpUPSEAI Chooses

    Delivery Address

    Street Address

    City, State, ZIP

    State

    ZIP

    Provide Recipient Info if Different From Step 1

    Recipient's First Name

    Recipient's Last Name

    Recipient's Phone Number

    Step 4: Choose sample types

    Sample Types (you can choose multiple)
    Soil Water AirOther

    Soil
    Number of Samples

    Analyses / Tests Needed

    Water
    Number of Samples

    Analyses / Tests Needed

    Air
    Number of Samples

    Analyses / Tests Needed

    Other
    Number of Samples

    Analyses / Tests Needed

    Field QC Bottles Needed?
    YesNo

    Questions / Comments

    Quick Resources

    Holding Times & Preservation Card

    Get our convenient holding times and preservation reference card.

    Download

    Short Hold Time Parameters Chart
    Download our sample turnaround table guidelines.

    Download

    Download the Eastern Analytical, Inc. Reference Card.

    Download

    Chain of Custody Forms
    Download one of our chain of custody forms.

    Print version

    Residential Drinking Water Information
    Get our homeowner drinking water guide and residential chain of custody form.

    View PDF’s

    Drinking Water Resources
    Sampling Instructions