Environmental Shop

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Water Testing Order Form

You are purchasing a Water Testing Kit from Dakota County, Minnesota.  Please fill out the information below to complete your application order.  After completing the form, click the "Place order" button at the bottom.  You will receive a confirmation number once the order has been submitted and your credit card has been charged.
Reason for Test (Please select one)

Shipping Information

First Name:  
Last Name:  
Contact Phone Number -    
E-Mail Address  
Available Kit Information
Select the items you'd like to include in your kit, each chemical is $21.00.
Select a Kit Return option.
Google Maps Directions to Western Service Center  Driving Directions
Total Fee
*Note:  To order another kit please return to home page.
Payment Information
Payment form
Credit Card Type
Credit Card Number
Enter number only no dashes.    
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Credit Card Expiration   /    
Cardholder First Name  
Cardholder Last Name  
Cardholder CompanyName
Zip Code  
Phone Number    


Release Version 17.09  January 04, 2023
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