Electronic form Dear Sir/Madam,We kindly ask you to fill in the following data, it will facilitate the execution of your order. Offer number (if any) Job area* SelectWaterSewageFoodWasteSoilEmissions and immissionsIndustrial researchSolid fuelsWork environmentOther (please specify) Scope of the order* Water intended for consumptionUseful warm waterRainwaterWell waterDrinking water from a drinking fountainOther (what?) Water intended for drinking Coliform bacteriaEscherichia coliTotal microorganism count at 22°CEnterococciColourTurbidityTaste/taste threshold numberOdour/odour threshold numberpHElectrical conductivityNitritesAmmonium ionAluminiumTotal ironOther (specify?) Domestic hot water Number of Legionella bacteria Rainwater Total Suspended SolidsMineral Oil IndexOther (what?) Water from the well Coliform bacteriaEscherichia coliTotal microorganism count at 22 °CEnterococciColourTurbidityTaste/taste threshold numberOdour/odour threshold numberpHSpecific electrical conductivityNitritesNitratesAmmonium ionTotal ironManganeseAluminumCalciumMagnesiumTotal hardnessOther (specify) Drinking water from the water fountain ColourTurbidityOdour/odour threshold numberpHColourTurbidityNitritesNitratesAmmonium ionTotal ironCadmiumLeadEscherichia coliTotal microorganism count at 36°CEnterococciPseudomonas aeruginosa countOther (specify?) Scope of the order* Industrial sewageMunicipal sewageOther (what?) Industrial sewage BOD₅CODTotal suspended solidspHTotal phosphorusTotal nitrogen Municipal sewage BOD₅CODTotal suspended solidspHTotal phosphorusTotal nitrogen Scope of the order* SaladIce creamCleanliness swabsSwabs from pork and beef carcassesPoultry carcassesFresh poultry meatFood (finished products)Other (what?) Surówka Enumeration of Listeria monocytogenesPresence of Salmonella spp.Enumeration of βD glucuronidase-positive Escherichia coli Ice-cream Listeria monocytogenes countSalmonella spp. countEnterobacteriaceae count Cleaning swabs Presence of Listeria monocytogenesPresence of Salmonella spp.Number of EnterobacteriaceaeTotal number of microorganisms Swabs from pork and beef carcasses Presence of Salmonella spp.Number of EnterobacteriaceaeTotal number of microorganisms Poultry carcasses Presence of Salmonella spp.Cambylobacter count Fresh poultry meat Identification of Salmonella species for Salmonella Enteritidis and Salmonella Typhimurium Food (finished products) Presence of Listeria monocytogenesCount of Listeria monocytogenesPresence of Salmonella spp.Count of βD glucuronidase-positive Escherichia coliCount of Bacillus cereusCount of molds and yeastsCount of coagulose-positive staphylococci Scope of the order* DustChemical/carcinogenic factorsDiesel engine exhaustNoiseVibrationsLightingMicroclimateEnergy expenditureElectromagnetic fieldOptical radiationVentilation efficiencyOther (please specify) Scope of the order* Dust emissionGas emissionDust and gas emissionNoise emissionBiogas emissionEfficiency of purification devicesImissionOther (what?) Scope of the order* Chemical analysesPhysical analysesOther (what?) Purpose of the study* SelectOwn needsLegally regulated areaI don't know/other Sampling by CBJ sp. z o.o.* SelectYesNo Customer type* SelectPrivate/RetailerCompany Client's details* Name and surname Street and house number Zip code Town Phone number Email Client's details* Name and surname* Street and house number Zip code Town Phone number Email NIP Invoice details* SelectSame as clientOther Please enter your invoice details Test report - shipping* SelectElectronicPaperBoth versions Additional information Attach file Consent to data processing I consent to the processing of my personal data by CBJ sp. z o.o. for purposes related to my inquiry contained in the form, in accordance with the terms set out in the Privacy Policy of CBJ sp. z o.o. (click to download)
