DOC:CB/CL/QR/5.8/IL-1 Issue No.: 04 Revision No. :01 Issue Date : 19.02.2014 Sample Reg. No. : ______________________ CENTRAL POLLUTION CONTROL BOARD Parivesh Bhawan, East Arjun Nagar, Delhi-110032 INSTRUMENTATION LABORATORY Requisition for Analysis of Trace Metals : 1. Division 2. Project : 3. Sampling Location : 4. Sample Collected by : 5. Sample Matrix : Water/Soil/Sludge 6. 7. Date & Time of sampling : Samples Details : (i) Sample nature : Grab/ Composite: Preservation (ii) Sample Pre-treated / Untreated :__________________________ (iii) Sample Digested by :__________________________ (iv) Digested Sample Volume (15 ml x no.of metals to be analyzed):_________________________ (v) Blank code no./nos : _________________________ (vi) Sample Code no/nos :__________________________ (vii) Total No. of Samples :__________________________ (viii) Metals to be analysed : Please tick or encircle As Cd Cr Cu Fe Pb Mn Hg Ni Zn Sb Co Se V Any Other Information : Indentor Incharge (Indenting Division) Incharge (Instrumentation Lab) Incharge (Sample receiving section) Sample Reg. No. : ______________________ ACKNOWLEDGEMENT Received__________Samples from No.___________to______on_____at_____a.m./p.m. from_______________ Division/Zonal Office/SPCB for Physico-chemical/Biological ______ Testing Remarks : Date : Signature Sampling and preservation Requirement for Heavy Metal Samples: Parameter Heavy Metals ( As, Cd, Cr, Cu, Fe, Mn, Ni, Pb, Zn, Sb, Co, Se, V) Mercury ( Hg ) Container to be used Narrow mouth Polyethylene Bottle Volume/Weight of samples be provided Water/ Waste Water-minimum 500 ml Narrow mouth Polyethylene Bottle Soil/Sludge/Sediments/Solid waste-Minimum 250 gm Glass Bottle or Polyethylene Bottle Water/ Waste Water-minimum 1 litre Wide mouth Polyethylene Bottle Soil/Sludge/Sediments/Solid Waste - Minimum 250 gm Preservation Sample pH adjusted to < 2.0 with Conc. Nitric AcidAR Grade - Conc. Nitric Acid- (AR Grade) + K2Cr2O7 (20% in 1:1 HNO3) Ice preserved Ice preserved DOC:CB/CL/QR/5.8/IL-2 Issue No.: 04 Revision No. :01 Issue Date : 19.02.2014 Sample Reg. No. : ______________________ CENTRAL POLLUTION CONTROL BOARD Parivesh Bhawan, East Arjun Nagar, Delhi-110032 INSTRUMENTATION LABORATORY Requisition for Analysis of Trace Organic Carbons/ Adsorbable Organic Halide Samples 1. Division : 2. Project : 3. Sampling Source : 4. Sample Matrix : 5. Sample Collected By : 6. Date & Time of sampling : 7. Samples Details (i) Sample preservation condition :__________________________ (ii) Sample Code no./nos :__________________________ (iii) Total No. of samples :_________________________ (iv) Parameter to be analysed : Please tick or encircle TC Indentor TOC Incharge (Indenting Division) DOC Incharge (Instrumentation Lab) TIC AOX Incharge (Sample receiving section) Sample Reg. No. : ______________________ ACKNOWLEDGEMENT Received__________Samples from No.___________to______on_____at_____a.m./p.m. from_______________ Division/Zonal Office/SPCB for Physico-chemical/Biological ______ Testing Remarks : Date : Signature Sampling Protocol to be followed : (i) Amber coloured glass bottles (preferably new) should be used for sample collection for TOC/AOX analysis. To prepare sample bottles (500 ml capacity) give acid wash, detergent wash, rinse with tap water then deionised water twice and dry at 1500C in a drying chamber. (ii) For TOC analysis, sample must be collected in a 500 ml glass bottle by rinsing with sample twice. The sample bottles of 500 ml capacity should be filled up to top free of air bubbles and transported to laboratory in ice preserved condition or in refrigerated condition. (iii) For AOX analysis, pH of the sample should be adjusted immediately after sampling within 1.5 to 2.0 pH with Nitric Acid AR Grade. Fill the bottles of 500ml capacity up to top, free of air bubbles. Remove active chlorine if present by adding Na2SO3 solution (less than 1ml/l) or crystals (Minimum 5mg/l) and preserve samples by refrigeration at 40C and transfer to laboratory.