Supplies Request Order Form

Client Contact		Date Requested
Company		Date/Time Required
Address		Date Shipped
City		Province
P. Code		Courier	DHLGreyHoundCityWidePurolator
Phone		Fax
Email
Customer Pickup	AMPM
Drop Box

Standard Analysis	Container
Alcohols, Amines, Glycols	40mL vial (x2)
BTEX, Volatiles, Trihalomethanes	40mL vial (x3)
Extractables, Chlorinated Hydrocarbons, PAH	1L amber
Phenols, Agrichemical	1L amber
Organic Soils	Teflon Lined Jars
Inorganic Soils	Plastic Bags
Inorganic Waters	Various Plastic Bottles

Available Supplies	Requested Amount
125mL Organic Glass Jars
250mL Organic Glass Jars
500mL Organic Glass Jars
40mL Vials
Amber Bottles (Sizes Available: 1L, 500mL, 250mL)Please Specify
Large Inorganic Soil Bags
Medium Inorganic Soil Bags
Ice Paks
Coolers -Small
Coolers -Medium
Coolers -Large
Labels -Large
Labels -Small
Chain of Custody Forms (if preprinted, send info to Holly Finn)

#	Inorganic Waters	Required Container	Preservative
	BOD	1L amber	none
	COD	50mL poly	25% Sulphuric Acid
	Microbiological (Fecal/Total)	250mL poly	Sodium Thiosulphate /Sterile
	Routine Water (TDS, pH, EC, Cations, Anions, Fe, NO₃)	500mL poly	none
	Nutrients (TOC, DOC, TKN, COD, NH₄-N, N₃, N₂, P)	250mL poly	25% Sulphuric Acid
	Cyanide	250mL poly	1:1 NaOH
	Mercury	100mL poly	none
	Heavy Metals (Preserve?)	500mL poly	20% Nitric Acid
	Oil & Grease	1L Amber	50% Sulphuric Acid
	Phenols	100mL glass	none
	Hydrogen Sulfide	250mL poly	Zinc Acetate (1mL to 1L)
Other

Printable Version of form