Container Request Form - Caltest Analytical Laboratory

- Client*
- Email*
- Address*
  Street Address City State ZIP Code
- Requested By
- Required Receipt Date
  MM slash DD slash YYYY
  
  NOTE: We would appreciate a minimum of 48-hours notice for bottle delivery requests, but understand when it’s not possible. We will do our best to accommodate all requests. Thank you!
- DELIVERY OPTIONS*
  - CALTEST TO DELIVER
  - CLIENT PICK UP
  - SHIP- select option below
- SHIP via
- Plastic Containers
- Metals, Pint (500mL) with HNO3 preservative
- Metals, Dissolved, Pint (500mL) unpreserved
- Cyanide, TOT or WAD, Amber Pint (~500 mL) with NaOH preservative
- *Sodium Thiosulfate dechlorination kit for Cyanide analysis on chlorinated sample
- *Sulfamic acid kit for Cyanide analysis NO3/NO2 pretreatment (incl. 3x NaOH)
- 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 (~150 mL) sterile with Na2S2O3 dechlorination for P/A, MPN, or SPC/HPC Bacteria Analysis
- Coliform (~290 mL) sterile with Na2S2O3 dechlorination for MPN or E.COLI requiring analysis in duplicate
- 549 Diquat (Title 22) – Plastic Amber Liter with Na2S2O3 for dechlorination
- Hexavalent Chromium (CrVI) by EPA 218.6 (for Drinking Water or Region 5) - 60mL plastic bottle pres w/ NH4SO4/NH4OH buffer.
- Chlorophyll A (Algal Biomass) Plastic Amber Liter unpreserved
- Cubitainer for % Survival Bioassays
- Gross Alpha and/or Gross Beta - Quart with HNO3 preservative
- Bromate - Plastic 50mL with EDA Solution preservative
- Half Gallon unpreserved
- Liter (1000mL) unpreserved (for Stormwaters, POTW Final Eff, or other very low solids samples for TSS, TDS, TS, or DW Lead and Copper Rule)
- Quart unpreserved
- Pint unpreserved
- Half Pint unpreserved
- Glass Containers
- Phenol by EPA 420.1 - Amber 250mL glass with H2SO4 preservative
- Oil & Grease by EPA 1664, Amber Liter (1000mL) with HCl preservative
- Oil & Grease by EPA 1664 (with HCl preservative) for Industrial Waste matrices or compositing multiple grab samples-- choose bottle size below
- Amber Liter (1000mL) wide mouth for Semi-Volatile Organics for the following methods:
- 3 AL per analysis: 625.1-BNA's*, PAHs*, 625.1-OCP's* (formerly 608), 625.1-OPP's* (formerly 614), 625.1/8270 Pyrethroids*, 632. Reduced AL Qty may be acceptable depending on sample/analysis count; please inquire.
  
  2 AL per analysis: Diesel/MotorOil
*Amber Liter (1000mL) with Na2S2O3 for dechlorination (for chlorinated sources)
- 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 - 500mL AMBER glass with HCl preservative and double bagged (keep cool)
1631 Travel Blank for Total Mercury Ultra Trace Level - 500mL CLEAR glass with HCl preservative and double bagged
- Mercury free water for 1630 or 1631 Field Blank - 500mL glass UNPRESERVED and double bagged
- General Physical (Title 22) - Amber Liter (1000mL) with no preservative
- Tributyltin Amber Liter 1000mL with HCl preservative (Collect in Duplicate)
525 or 507 (525 A&S only) Amber Liter 1000mL with Na2S2O3 for dechlorination and vial of HCl for preservative (Collect in Duplicate)
*Dechlorination kit for 525 or 507 (525 A/S) (for chlorinated sources)
- 547 - 125mL Amber Glass or 40mL Amber VOAs; both with Na2S2O3
- 548 - Amber 250mL with Na2S2O3 for dechlorination (Collect in Duplicate)
- 1613 Dioxins/Furans (collect in duplicate) - Amber Liter (1000mL) wide mouth (Chlorinated sources: collect with Na2S2O3 for dechlorination)
*1613 Dioxins/Furans from Chlorinated Source (collect in duplicate) - Amber Liter (1000mL) wide mouth with Na2S2O3 for dechlorination
- Sulfide (Total)- 250mL Glass with NaOH + ZnAC
- Sulfide (Dissolved)- 250mL Glass with AlCl3 + NaOH
- Clear Soil Jars *Choose size from dropdown below*
- Poly Jar
- Amber Glass Soil Jar (8oz.) for pyrethroids and dioxins in solids/sediments
- Sulfite (SO3) - 500mL Amber Glass preserved with EDTA
- Dissolved Organic Carbon (DOC) - Amber Glass 125mL unpreserved
- Glass Septa Bottles
- 515 - (4) 60mL Amber VOAs with NaSulfite for dechlorination or Amber 125mL Glass with Sulfite for dechlorination
- 40mL clear VOA sets in Triplicate with HCl preservative for the following: MTBE, BTEX, GAS, 8260, 524.2*
- *Dechlorination kit (250 mL) with ASCORBIC ACID if sample is chlorinated
- 624 Volatile Analysis (6-pack) -two 40ml clear VOAs w/ HCl + two 40 ml clear VOAs w/o preservative + two client-preserved VOAs w/ HCl to pH 4-5, (total of 6 vials per sample).
- 624 Volatile Analysis (4-pack/3-day holding time) -two 40ml clear VOAs w/ HCl + two 40 ml clear VOAs w/o preservative (total of 4 vials per sample)
- *624 dechlorination kit (250 mL amber) with SODIUM THIOSULFATE if sample is chlorinated (Na2S2O3 for 624)
- THMs-only by EPA 524.2 - Triplicate 40mL VOAs w/ Na2S2O3 for dechlorination
- EDB/DBCP: (3) Amber VOAs with NH4Cl preservative + Phosphate Buffer (504/551) or Amber VOA with Ascorbic/Maleic acid (524.3)
- 505 or 508 - (4) Amber 40mL vials (505) or Duplicate Amber Glass Liters (508); both with Na2S2O3 for dechlorination
- 531 - Duplicate Amber VOAs preserved with KH2 Citrate + Na2S2O3 for dechlorination
- 552 Haloacetic Acids (HAA) – Triplicate Amber Glass VOA vials or 125mL amber glass with NH4Cl preservative
- 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
- Formaldehyde - Triplicate Amber 40mL VOAs preserved with NH4CL/CuSO4
- Other Items
- Ice Chest(s)
- Container Labels
- Chain of Custody Forms
- Other

Plastic Containers

Glass Containers

Glass Septa Bottles

Other Items