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Request a Quote for a Sampling Event or Make an Inquiry

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You are here: Home › Contact › Request a Quote For a Sampling Event or Make an Inquiry

Request a Quote For a Sampling Event or Make an Inquiry

Are you requesting a quote, to schedule a sampling event or is this a general inquiry?
General Inquiry
Please describe request in detail. For us to respond to a availability of service request, you must state at a minimum: location, estimated date, and vessel name.
Your Company Name*
Enter name of primary contact for this request.*

if additional contacts are needed please add below in any additional comments or notes
Enter email of primary contact for this request.*
if additional contacts are needed please add below in any additional comments or notes
Please Enter Your Purchase Order Number
Name of Vessel*
Enter email address for vessel*
Email for vessel is required to confirm with vessel proposed sample date and time
IMO #
Please provide IMO#
Estimated Sample Date*
Please provide date in day/month/year
Service(s) Requested*
Please Check All that Apply
- Ballast Water Sampling
- Gray Water Sampling
- Bilge Water Sampling
- Drinking Water Sampling
- Gas Scrubber Analysis
- Commissioning Testing
- Gas Scrubber Kit
- Sewage
- Other
Is weekend/after hours sampling approved?*
Is this a loading port?
Does the vessel have treated ballast water for samping
Will the vessel have treated water available to discharge for sampling
We will need approx. 40 minutes of discharge to sample. If no we can not collect ballast water discharge samples.
How many gas scrubber kits do you want to order
Ballast Water Treatment System*
If other please write in below
If Other is chosen above please write in name of treatment system
Does the vessel have 1, 2, or 3 Ballast Water Treatment Systems*
If Vessel is sampling 2 or 3 systems, please include names of systems*
Main, Starboard, port, APT...
What Type of Treatment Technology is Used*
If other is chosen above please write in Treatment Technology
What Parameters Do you want to analyze for? If unknown please select biological and biocide*
- Biological
- Biocide
- Biological and Biocide
Choose Number of sample points For Gas Scrubber Sampling*
Does the Vessel currently have a set of bottles for the collection of gas scrubber samples?*
If No we can not provide gas scrubber analysis at this time. Please let us know if you would like to arrange gas scrubber sample kit to be delivered the vessel.
Choose Port of Service*
If you choose "Other" please write in port name below in "Any additional Comment or request" and we will revert with costs if port is available
If other is chosen in port above please enter requested port
Agent Contact information
Company Name, email and phone number
Any Other Comments
Please let us know any other details you wish to relay
Name
This field is for validation purposes and should be left unchanged.

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