Attention: Bottle Prep – ALS Melbourne
Facsimile: +61 (03) 8549 9601
E-mail: bottles.melbourne@alsenviro.com
MELBOURNE - SAMPLE CONTAINER REQUEST FORM
Page 1 of 3
Client:
Date Required by Client:
Contact:
Time Required by Client:
Telephone:
ALS Use ONLY
Delivery Address:
Date Received by ALS:
Time Received by ALS:
*Courier Charge? Y / N
*Please Note: Cost recovery charges may apply for urgent deliveries when insufficient notice is received.
For regional deliveries, please allow 3-5 working days for delivery.
OTHER INSTRUCTIONS:
................................................................................................................................................................
................................................................................................................................................................................................................................
Hard esky - large
(Y/N)
Hard esky - medium
Hard esky - small
Foam esky
QUALITY CONTROL SAMPLE CONTAINERS
No.
Label Colour
Orange
Orange
Maroon
Maroon
-
Container Type (* sample containers supplied with teflon lined lids)
1 x 150ml wide mouth glass jar
Trip/Field Spike (soil) – duplicate jars (control and field spike) of
sand spiked with unleaded petrol. Both control and field spike to
be analysed for TPH/BTEX. (provided under CoC conditions with
ice)
2 x 40ml Amber glass vial (NaHSO4 preserved) Trip Blank
2 x 40ml Amber glass vial (NaHSO4 preserved) Trip Spike
(provided under CoC conditions with ice)
1 x 500mL Amber glass bottle
1 x 1L Opaque plastic ‘natural’ bottle
1 x 500ml Amber glass bottle
Test Parameter(s)
Trip BLANK SOIL (BTEX)
Trip SPIKE SOIL(Min. 24hr notice required)
(C6-C9, BTEX compounds). Please
return to ALS lab of issue.
Trip BLANK WATER (BTEX)
Trip SPIKE WATER (BTEX)
Rinsate: Semi-Volatile Organics
Rinsate: Metals and Inorganics
Rinsate: Volatile Organics & TOC/DOC
SOLID MATRIX SAMPLE CONTAINERS (Soil / Sludge / Sediment / Dusts)
No.
Label Colour
Orange
Orange
Orange
Container Type (* sample containers supplied with teflon lined lids)
1 x 250ml wide mouth glass jar
( 2 x 250ml jars recommended for Sediment samples)
1 x 150ml wide mouth glass jar
1 x 150ml wide mouth glass jar
1 x 150ml wide mouth glass jar
Orange
1 x 150ml wide mouth glass jar
Orange
Green
Black on
White
Black
Turquoise
ALS use only
Number of Eskies:
Courier Company:
Test Parameter(s)
Test parameters including TCLP and
ZHE
TPH/BTEX/PAH & Metals
ZHE only
Dioxins or TBT plus TOC
Herbicides, PFOS/PFOA, Ultra trace
OC/OP/PCB or PBDE’s
Acid Sulfate Soils
Asbestos, Particle Sizing
Total Sulfur or Total Fluoride, Sulfide
Microbiological tests
Dust Deposition gauges
1 x 250g resealable plastic bag (samples should be frozen)
1 x 250g resealable plastic bag
1 x 100g paper bag
1 x 100ml sterile wide mouth plastic jar
1 x 4 L clear glass (5% CuSO4 solution)
Packed by:
Dispatch Time / Date
Consignment Note Number:
Consignment Dispatched by (date/ Sign):
ALS Laboratory Group
4 Westall Rd, Springvale, VIC. 3171
Phone +61 3 8549 9600 Fax +61 3 8549 9601 www.alsglobal.com
A Campbell Brothers Limited Company
ENFM (67/25).S
Form Page 1 of 3
Date Approved: 05/02/2010
SAMPLE CONTAINER REQUEST FORM Continued
AQUEOUS MATRIX SAMPLE CONTAINERS (WATER)
Volumes listed in the box below are recommended based on “clean” waters.
For other combinations - 1 x 1000mL container may be sufficient, please contact us for advice.
INORGANICS
No.
Label Colour
Green
Green
Green
Green & White
stripe
Green
Green
Yellow
Yellow & Light
Blue
Light Orange
Brown
Blue
Purple
Purple
Purple
Purple
Container Type (Preservation)
1 x 1,000ml plastic (none)
1 x 1,000ml plastic (none)
1 x 250ml plastic (none)
Test Parameter(s)
Solids, Cations, Anions, Physical properties
BOD, Turbidity, Colour, Formaldehyde
General Cations & Anions (only)
1 x 500ml plastic (none)
BOD (only)
1 x 1,000ml White plastic (none)
1 x 1,000ml White plastic (none)
1 x 125ml plastic (Zinc Acetate and NaOH)
2 x 125mL plastic bottles; Yellow (Zinc Acetate and
NaOH) plus Light Blue (Aluminium Chloride)
1 x 250ml plastic (EDTA and Zinc Acetate)
1 x 500ml Amber glass (formaldehyde)
1 x 250ml White plastic (Cd(NO3)2 and NaOH)
1 x 125ml plastic (Sulfuric acid)
1 x 40ml Glass vial (Sulfuric acid)
1 x 40ml Glass vial (Sulfuric acid)
1 x 1,000ml wide mouth glass jar (Sulfuric acid)
Chlorophyll a (Standard LOR)
Asbestos
Sulfide
No.
Label Colour
Black
Grey
Dark Green
Container Type (Preservation)
1 x 120ml Sterile plastic jar/lid
1 x 600ml Sterile plastic jar/lid (With Na2S2O3)
1 x 1,000ml White plastic (Lugol’s solution)
No.
Label Colour
Red
Red & Green
stripe
Container Type (Preservation)
1 x 60ml plastic (Nitric acid)
Test Parameter(s)
Heavy Metals Dissolved (Field Filtered) or Total
1 x 60ml plastic (none) AIRFREIGHT OPTION
Heavy Metals Dissolved (Field Filtered) or Total
Red on White
1 x 125ml plastic (Spec Pure nitric acid)
Unionized Sulfide
Sulfite
Surfactants (NIS or MBAS)
Total, Free and WAD Cyanide; Cyanate
COD, Ammonia, TN, NOx, TKN, TP, Total Phenols
TOC
DOC (Field Filtered)
Oil & Grease
MICRO & ALGAE
Test Parameter(s)
Single ’Micro’ Test – Natural Waters
Multiple ‘Micro’ Test – Chlorinated Water
Algae
METALS & RADIONUCLIDES
Red & Green
stripe
Maroon on
White
Maroon
Blue
Red & Green
stripe
1 x 125ml plastic (none) AIRFREIGHT OPTION
ORC Metals in Fresh and Saline water Dissolved (Field
Filtered) or Total
ORC Metals in Fresh and Saline water Dissolved (Field
Filtered) or Total
1 x 60ml plastic (Spec Pure HCl acid)
As and Se Speciation
1 x 60ml plastic (Hydrochloric acid)
1 x 60ml plastic (Sodium Hydroxide)
1 x 1,000ml plastic (none) AIRFREIGHT OPTION
2 x 1,000ml plastic (none) AIRFREIGHT OPTION
Ferrous Iron (Field Filtered)
Hexavalent Chromium (extended holding time)
Gross alpha/ Gross beta
Radium 226, Radium 228
SPECIALIST CATCHMENT, RECYCLED, DRINKING WATER MONITORING
No.
Pairs
Pairs
Pairs
Pairs
Label Colour
Light Green &
White stripe
Turquoise &
White stripe
Black on White
Container Type (Preservation)
Test Parameter(s)
1 x 60ml plastic (none)
Total Nitrogen and Total Phosphorus – ULTRA TRACE
1 x 40ml vial (EDA)
Reactive P, Nitrate, Nitrite, Ammonia, Silica (Field filtered)
– ULTRA TRACE
Oxyhalides
Green
2 x 40ml Amber vials (none)
MIB/Geosmin
Grey
2 x 40ml Amber vials (none, however Na2S2O3
may be added for chlorinated water)
Acrylamide, Acrolein
2 x 40ml Amber vials (Ammonium Chloride)
Chloroacetic Acids
Dark Blue &
White stripe
Purple
Grey
Grey
Orange
Orange
Orange & White
stripe
ENFM (67/25).S
1 x 60ml plastic (none)
2 x 40ml Amber vials (Sulfuric Acid, Na2S2O3
may be added for chlorinated water)
1 x 125ml plastic (none, however Na2S2O3 may
be added for chlorinated water)
1 x 500ml Amber glass (none, however Na2S2O3
may be added for chlorinated water)
1 x 500mL Amber glass (none)
2 x 500ml Amber glass (none) for primary analysis
4 x additional 500ml Amber glass bottles for
laboratory duplicates and matrix spikes.
Form Page 2 of 3
Acrylonitrile or Alcohols or Pyridine
Paraquat & Diquat
NDMA
Super Ultra-trace Multiresidue Pesticides Suite
(EP234LL)
Super Ultra-trace OC/OP/PCB
Ultra trace Multi Residue Screens (EP215)
Date of Approved: 05/02/2010
SAMPLE CONTAINER REQUEST FORM Continued
AQUEOUS MATRIX SAMPLE CONTAINERS (WATER) continued…
ORGANICS
No.
Label Colour
Pairs
Maroon
Maroon & White
stripe
Purple & Yellow
stripes
Pairs
Pairs
Container Type (Preservation)
Test Parameter(s)
2 x 40ml Amber vials (HCl)
VOCs/BTEX/TPH(C6-C9)/VHC
2 x 40ml Amber vials (NaHSO4 or Sulfuric Acid)
AIRFREIGHT OPTION
VOCs/BTEX/TPH(C6-C9)/VHC, 1,4-Dioxane
2 x 40ml Amber vials (Sulfuric Acid)
Gases/Methane (Standard or Ultra trace)
Orange
1 x 100ml Amber glass (none) for primary analysis
2 x additional 100ml Amber glass bottles for
laboratory duplicates and matrix spikes.
Orange
1 x 100ml Amber glass (none) including QC
Orange
1 x 500ml Amber glass (none) for primary analysis
2 x additional 500ml Amber glass bottles for
laboratory duplicates and matrix spikes.
Standard level OC/OP/PCB plus Standard level PAHs
plus standard level Phenols plus TPH(C10-C36) plus
standard level SVOC (8270 list)
Herbicides - Carbamates standard level
Herbicides including Glyphosate/AMPA, Phenoxy
Acids, Amitrole, metsulfuron methyl and Diuron
(Standard level) plus Ultra trace Multi-residue
Pesticides Suite (EP234)
Explosives only (Standard level)
Enhanced level or Ultra-trace PAHs plus any
standard level TPH and SVOCs,
TBT
Ultra trace OC/OP/PCBs
Synthetic Pyrethroids
HRAF - TPH Aliphatic / Aromatic Speciation plus
TPH(C10-C36)
Dioxins & Furans
Orange
Grey
Brown
Orange & White
stripe
2 x 500ml Amber glass (none) for primary analysis
4 x additional 500ml Amber glass bottles for
laboratory duplicates and matrix spikes.
PBDE
Ultra trace Phenols or ultra trace phenols and any
level PAHs/TPH
Super Ultra-trace PAHs + other std SVOCs/TPH
1 x 250ml plastic (PTFE free) (none, however
Na2S2O3 may be added for chlorinated water)
PFOS & PFOA
1 x 500ml Amber glass (formaldehyde)
Alkylphenol Ethoxylates
1 x 500ml Amber glass (none) for primary analysis
2 x additional 500ml Amber glass bottles for
laboratory duplicates and matrix spikes.
Ultra trace Explosives or
Ultra trace Phenoxy Acid herbicides or Nitrocellulose or
Low level Multi-residue screen by LC/MS (EP209)
Important Notes:

All samples for Organics analysis (where appropriate) are provided with Teflon lined lids.
ENFM (67/25).S
Form Page 3 of 3
Date of Approved: 05/02/2010