All Fields with *Pickup are required when Pickup is checked or All Fields with *Delivery are required when Delivery is checked
Please refer to the environmental lab handbook for the appropriate sample container and other lab requirements. If you have
any questions please contact health.PHLBottleKitRequests@state.mn.us or 651-201-5300.
Please allow 5 business days for processing. For RUSH orders please complete and submit form and call 651-201-5300.