TRI/ENVIRONMENTAL, nc. TEST REQUEST FORM A Texas …€¦ · TRI/ENVIRONMENTAL, Inc. A Texas...

TRI/ENVIRONMENTAL, Inc.A Texas Research International Company COC Page of

Primary Contact: Primary Contact's E-mail: Shipping Address

Client Company: Primary Contact's Phone: TRI/Environmental, Inc.

Project Name: Also Report Results to: Attn: Soil-Interaction Lab

Project Number: 1 Name: E-mail: 9063 Bee Caves Road

Client P.O. #: 2 Name: E-mail: Austin, Texas 78733-6201

Client Mailing Address: 3 Name: E-mail: 1-800-880-8378

Client City, State, Zip: Sender and Shipping Date:

□ Check if Reporting and Invoicing are not to the same party Tracking Information:

CO

C L

ine

#

1

2

3

4

5

1

2

3

4

5

Authorization:Signature

G20

0 O

xida

tion­

Red

uctio

n P

oten

tial,O

RP

D51

2 W

ater

­Sol

uble

Chl

orid

e

REP

OR

T R

ESU

LTS

TO:

Special Instructions

Boring # /Sample Depth /

Sample ID

D51

6 W

ater

Sol

uble

Sul

fate

s

D53

34 T

herm

al: A

s­R

ecei

ved

D53

34 T

herm

al: D

ry­B

ack

Cur

ve

D53

34 T

herm

al: O

ven

Dry

D53

34 T

herm

al: S

atur

ated

D76

26 L

oss

on Ig

nitio

n

EP

A 9

045D

pH

of S

oil

G51

pH

of S

oil,

Cor

rosi

on T

estin

g

CHAIN OF CUSTODY / TEST REQUEST FORM

N7901 ­ Analytical (3)

Testing Standard

Sampling Method

Printed Name Date

Split

Spo

on /

Bag

Sam

ple

Thin

-Wal

led

/ She

lby

Tube

Bulk

or A

uger

Sam

ple

AP

I 13A

Vis

cosi

ty

Azi

de S

ulfid

es, L

itmus

Tes

t

C15

80 W

ater

­Sol

uble

Sul

fate

s in

Soi

l

C83

7 C

EC

of C

lay

­ Met

hyle

ne B

lue

Inde

x

D14

29 S

peci

fic G

ravi

ty o

f Wat

er a

nd B

rine

D45

42 S

olub

le S

alt C

onte

nt

D49

72 p

H o

f Soi

l

TR41

3 D

OTD

Org

anic

Con

tent

G57

Ele

ctric

al R

esis

tivity

SM

4500

Sul

fides

, Met

hyle

ne B

lue

T288

Min

. Ele

ctric

al R

esis

tivity

T291

Wat

er S

olub

le C

hlor

ide

T290

Wat

er S

olub

le S

ulfa

te

Wal

kley

­Bla

ck ­

Soi

l Org

anic

, Oxi

datio

n��

S

ee S

oil T

estin

g S

cope

of W

ork