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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, follow the instructions on the second page and mail to the address found on the bottom of page 1.

  Sample Submittal Form

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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.

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