Request Containers
Client Information CLIENT: REQUESTED BY: Email: REQUIRED RECEIPT DATE: ADDRESS:                                CALTEST TO DELIVER City:                                CLIENT PICK UP State: PICK UP TIME choose am/pm 9am till 1pm 2pm till 5pm Zip: SHIP via Please Choose One UPS Ground California Overnight Plastic Containers Metals, Half Pint (~250mL) with HNO3 preservative Metals, Pint (~500mL) with HNO3 preservative Cyanide, TOT or WAD, Amber Pint (~500 mL) with NaOH preservative     Ascorbic Acid dechlorination kit for Chlorination Samples Pint (~500 mL) with H2SO4 preservative for NH3, TKN, Total PO4, NO3-NO2-N, COD Half Pint (~250 mL) with H2SO4 preservative for one or two of the above Coliform (~120 mL) sterile with Na2S2O3 dechlorination for P/A, MPN, or SPC/HPC Bacteria Analysis 549 Diquat (Title 22) – PLASTIC AMBER LITER with H2SO4 preservative and Na2S2O3 for dechlorination Chlorophyll A (Algal Biomass) PLASTIC AMBER LITER Cubitainer for % Survival Bioassays: Please Choose One 5 gallon 2.5 gallon 1 gallon Gross Alpha and/or Gross Beta – Quart Asbestos – Quart General Mineral (Title 22) – Half Gallon Inorganic Chemical (Title 22) - Pint Half Gallon unpreserved Quart unpreserved Pint unpreserved Half Pint unpreserved Glass Containers Phenol by EPA 420.2 – Amber Liter (1000mL) glass with H2SO4 preservative Phenol by EPA 420.2 - 500 mL amber glass with H2SO4 preservative for Phenol compositing only Oil & Grease by EPA 1664, Amber Liter (1000mL) with HCL preservative Oil & Grease by EPA 1664, Oil and Grease compositing only Please Choose One 500mL 250mL 60mL Amber Liter (1000mL) wide mouth for Semi-Volatile Organics (collect in duplicate) – for the following methods: Account for 2 AL per method: 608, 610, 614, 615, 625, 632, 8081, 8082, 8270, 8310, 8321, 8015 Diesel/MotorOil, Tributyltin, Pyrethroids 1631 Total mercury Ultra Trace Level – 500mL glass with HCL preservative and double bagged 1631 Dissolved mercury Ultra Trace Level – 500mL glass UNPRESERVED and double bagged 1630 Methyl mercury – 500mL AMBER glass with HCl preservative and double bagged 1630 Dissolved Methyl mercury – 500mL AMBER glass UNPRESERVED and double bagged 1630 Travel Blank for Methyl mercury Ultra Trace Level – 500mL AMBER glass with HCl preservative and double bagged Mercury free water for field Blank - Ultra Trace Level – 500mL AMBER glass UNPRESERVED and double bagged General Physical (Title 22) – Amber Liter (1000mL) with no preservative 515 or 547- 250mL Amber Glass with Na2S2O3 for dechlorination 531- 250mL amber glass with Monochloroacetic acid buffer (MCAA) pres, and Na2S2O3 for dechlorination 525 Amber Liter 1000mL with Sodium SULFITE (Na2SO3) for dechlorination 507 Amber Liter 1000mL with Na2S2O3 for dechlorination (Collect in Duplicate) 548 Amber Liter 1000mL with Na2S2O3 for dechlorination (Collect in Duplicate) 552 Haloacetic Acids (HAA) – 250mL Amber Glass with NH4Cl preservative 1613 Dioxins/Furans (collect in duplicate) - Amber Liter (1000mL) wide mouth with Na2S2O3 for dechlorination Radon- 250mL amber glass (collect in duplicate). Sulfide- 300mL BOD bottle with ground glass stopper for: TOTAL DISSOLVED Soil Jars: Please Choose One 4 oz. 8 oz. 16 oz. 32 oz. Glass Septa Bottles 40mL clear VOA sets in Triplicate with HCL preservative for the following: MTBE, BTEX, GAS, 8260, 8021, 524.2*, THMs* *Dechlorination kit (250 mL amber) with ASCORBIC ACID if sample is chlorinated (Ascorbic for 524.2 or THMs) 624 Volatile Analysis - two 40ml clear VOAS w/ HCL, two 40 ml clear VOAS w/o preservative, two client preserved to PH 4-5, (total of 6 VOAS). *Dechlorination kit (250 mL amber) with SODIUM THIOSULFATE if sample is chlorinated (Na2S2O3 for 624) 504 or 505 Triplicate 40mL vials w/Na2S2O3 for dechlorination Travel Blank, Triplicate 40mL clear VOA with VOA BLANK WATER & ESS HCL preservative. Total Organic Carbon (TOC) – Triplicate Amber Glass 40mL VOA set with HCL preservative Total Organic Carbon (TOC) for DRINKING WATER or DI Water Amber Glass 125mL with H2SO4 preservative from MWH Labs Dissolved Organic Carbon (DOC) - Amber Glass 250mL with no preservative Sulfite (SO3) – Clear Glass 40mL VOA sets in duplicate preserved with EDTA solution Other Items Ice Chest(s) w/ Blue Ice Please Choose One yes no Container Labels Chains of Custody Forms Other: