Sample Containers / Sampling Supplies Ordering Form

Sample Containers / Sampling Supplies Ordering

Sample Containers / Sampling Supplies Ordering Form

To place stock container order follow the steps below

Step One:

Enter your Contact and Project information

* Required Information

Name

Company Name

Phone (if not on file)

Project Name / Number (for billing purposes)

Project Manager (for billing purposes)

P,O, Number (if applicable)

Step Two:

Select Pickup or Delivery and fill out date, time and, if applicable, delivery location and site contact.

Please note that our complimentary courier service requires that the delivery can be made anytime between 9AM and 5PM. Deliveries on other time frames can be accommodated to meet sampling schedules or project requirements, but these services will normally incur an additional cost.

Pickup Date

Pickup Time

Any

Delivery Date

Delivery Time

Any

Pickup From

Office Site

Site Delivery Address

City

State

Zip Code

Site Contact Name

Site Contact Cell

Step Three:

Select items and quantity.

Image of Item

Description

Order Quantity

2 oz jars case (24)

4 oz jars case (24)

Liter Amber case (12)

40ml Vial Hydrochloric Acid case (72)

1 L glass wide mouth

1 L plastic

250ml plastic

Terra Core Kit for VOCs or TPH GRO (contains 1 methanol vial & 2 sodium bisulfate vials) $15.00/ea

Terra Core Plus Kit for VOCs and TPH GRO (contains 1 methanol vial & 4 sodium bisulfate vials) $20.00/ea

Medium Cooler (approx. 19"w x 11"d x 13"h)

Chain of Custody Forms

Labels

Custody Seals

Deionized Water - 1 liter glass container $10.00/ea

Tubing ® (1/8" ID x 1/4" OD) (Specially cleaned for TO-15 subsurface sample collection) $2.50/foot

Comments / Questions

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To place stock container order follow the steps below

Step One:

Enter your Contact and Project information.

* Required information

Name*

Company Name*

Email*

Phone (if not on file)

Project Name / Number (for billing purposes)

Project Manager (for billing purposes)

P.O. Number (if applicable)

Step Two:

Select Pickup or Delivery and fill out date, time and, if applicable, delivery location and site contact.

Pickup Date

Delivery Date

Pickup From
OfficeSite

Pickup Time

Delivery Time

Site Delivery Address*

City*

State*

Zip Code*

Site Contact Name

Site Contact Cell

Step Three:

Select items and quantity.

Image of Item	Description	Order Quantity
	2 oz jars case (24)
	4 oz jars case (24)
	Liter Amber case (12)
	40ml Vial Hydrochloric Acid case (72)
	1 L glass wide mouth
	1 L plastic
	250ml plastic
	Terra Core Kit for VOCs or TPH GRO (contains 1 methanol vial & 2 sodium bisulfate vials) $15.00/ea
	Terra Core Plus Kit for VOCs and TPH GRO (contains 1 methanol vial & 4 sodium bisulfate vials) $20.00/ea
	Medium Cooler (approx. 19"w x 11"d x 13"h)
	Chain of Custody Forms
	Labels
	Custody Seals
	Deionized Water - 1 liter glass container$10.00/ea
	Tubing (1/8" ID x 1/4" OD) (Specially cleaned for TO-15 subsurface sample collection) $2.50/foot

Comments / Questions