Online Request & COC - HP Environmental

Name *

First

Last

Email *

Do you have an HPE Client ID (for example, H-CA-101)? *

Yes
No

Project Information

Let's start by logging in your Project Information. None of these fields are required. However, any information you provide will be helpful in filling out the necessary laboratory reports and invoices.

Project Name/Number

Purchase Order Number

Project Location/Address

Where were the samples collected?

Report Delivered To

First

Last

Invoice Delivered To

First

Last

Chain of Custody

Please fill out our Electronic Chain of Custody (by clicking the link) and then save it to your computer before uploading. You can upload your completed Chain of Custody in the field below. Please fill out as much of the information as possible. The information provided will be used to complete your reports and invoices. If you have any questions while filling out the form, please do not hesitate to call us at (703) 471-4200.

File Upload

Click or drag a file to this area to upload.