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Call Lab (800) 306-9675
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*
must be filled out.
Full Name:
*
Company Name:
*
Mobile Phone:
*
Alternate Phone:
Email Address:
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Address:
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Address City, State Zip
Project Name / Number:
Drop-Off Date:
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Drop-Off Time:
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Anytime
8:00am - 10:00am
10:00am - 12:00pm
12:00pm - 2:00pm
2:00pm - 4:00pm
Order Comments & Notes:
Add any additional request details or order information here. Examples: Trip Blanks, Field Blanks, DI Water, etc.
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For any questions or assistance with placing your order, please call
(203) 325-1371
or email us at
clientservices@yorklab.com
.
Air Order
Summa Canisters
*
6 Liter
Flow Controller
*
Grab
30 min
1 hour
2 hour
4 hour
6 hour
8 hour
12 hour
24 hour
Type of Samples Expected
Ambient Air
Soil Vapor
Other
Soil/Solid
VOA Soil En Core
5 Gram Sampler
25 Gram Sampler
VOA 5035 Vial Set
Indiv. Bagged Set
Box of 12 Sets
2oz Glass Soil Jar
Individual Jar(s)
Box of 24
4oz Glass Soil Jar
Individual Jar(s)
Box of 24
8oz Glass Soil Jar
Individual Jar(s)
Box of 24
PFAS Soil Kit
1 Bagged 250mL HDPE Container
PFAS Field Blank Water Kit
1 Bagged HDPE Bottle and 1 HDPE Bottle Filled with PFAS Free Water
Aqueous
40mL VOA Vial
Set of 3 with HCl
Indiv. Unpreserved
Box of 72 w/ HCl
Box of 72 Unpreserved
250mL Amber Glass
Unpreserved
Unpreserved Box of 12
H2SO4
HCl
Other
500mL Amber Glass
Unpreserved
Unpreserved Box of 12
H2SO4
HCl
Other
1000mL Amber Glass
Unpreserved
Unpreserved Box of 12
H2SO4
HCl
Other
250mL Plastic
Unpreserved
HNO3
H2SO4
NaOH
Other
500mL Plastic
Unpreserved
HNO3
H2SO4
NaOH
Other
1000mL Plastic
Unpreserved
HNO3
H2SO4
NaOH
Other
PFAS Non-Potable Water
2 Bagged 125mL PP Containers
PFAS Drinking Water
2 Bagged 250mL HDPE or PP Containers
PFAS Field Blank Water Kit
1 Bagged HDPE Bottle and 1 HDPE Bottle Filled with PFAS Free Water
PFAS MS/MS-D Sample Kit
2 Bagged HDPE Bottles Sample Set Marked MS/MS-D
QC
Trip Blank (2)
1 Set of 2 HCl Prepped 40mL VOA Vial w/ DI
DI Water
Gallon(s)
Liter(s)
Coolers Needed:
Chain of Custody:
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