Downloadable Sample Submission Form
If you prefer completing a sample submittal form by hand and mailing it to Chemical Solutions via the U.S. mail, please click on the icon below to download a pdf file of the form. Print the form, complete it for one or multiple samples and mail to the address found on the bottom of page 2.
Downloadable Sample Submittal Form
In order to view and print the form, Adobe Acrobat Reader is required. If you do not have a copy of Acrobat on your system, use the link to visit the Adobe site and follow the instructions to download Adobe Acrobat Reader to your computer.
Should you have any questions or need assistance please do not hesitate to contact Bernadette Galinsky, sample custodian, at 717-697-7536 or email her at bgalinskie@chemicalsolutionsltd.com.