Bottle Order Request Form
 

Client Information
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Special Instructions:

 

        BOTTLE

     ORDERING

     
# of Bottles Description Preservative Testing Parameter

Aqueous(1)

   40 ml VOA Vial HCL VOC  8260, 624, 524, VPH
       

Aqueous(2)

   16 oz. plastic HNO3 Metals
       

Aqueous(3)

   1 Liter Amber Glass NON Semivolatiles (8270,625), PCB, Pest, Herb
       

Aqueous(4)

   1 Liter Amber Glass H2SO4 TPH, DRO, 1664, Phenol
       

Aqueous(5)

   1 Liter Amber Glass HCL EPH
       
# of Bottles Description Preservative Testing Parameter

Soils(1)

   40 ml VOA Vial MEOH VOC Soil: 8260, VPH
       

Soils(2)

   40 ml VOA Vial Stirbar freeze VOC Low Level Soil
       

Soils(3)

   4 oz. Jar NON Metals, EPH, TPH, Semivolatiles 8270, Herb, Pest, PCB
       

Soils(4)

   8 oz. Jar NON Metals, EPH, TPH, Semivolatiles 8270, Herb, Pest, PCB
       
(# of Bottles, Description, Preservative, Testing Parameter)      

Other(1)
 

Other(2)
 

Other(3)
 

Other(4)