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Schneider
Laboratories, Inc. |
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Submitting Co. |
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Lab Use-WO# |
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2512
West Cary Street, Richmond, Virginia 23220-5117 |
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804-353-6778
* 800-785-LABS (5227) * Fax 804-359-1475 |
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Acct # |
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www.slabinc.com e-mail: info@slabinc.com |
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| Project Name |
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Special Instructions [include requests for
special reporting or data packages] |
Phone # |
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| Project
Location |
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FAX # |
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| Purchase Order
No. |
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STATE WHERE SAMPLES WERE
COLLECTED_________________________ |
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| Turn Around Time |
Matrix
/ Sample Type (Select ONE) |
Tests
/ Analytes (Select ALL that Apply) |
ORGANICS TESTS and other Analyses |
| [ ] 6-8 hours* |
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All
samples on form should be of SAME |
Asbestos Air / Fiber Counts |
Asbestos Bulk / Asb ID |
Metals-Total
Conc. |
NOTE:
All samples for organics should be kept at
4°C |
| [ ] 24 hours* |
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matrix
type. Use
additional forms as needed. |
[ ] PCM
(NIOSH 7400) |
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[ ] PLM (EPA 600, 1993) |
[ ]
Lead |
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from collection until testing. Schedule rush analyses
in |
| [ ] 48 hours* |
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[ ] Air |
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[ ]
Solid |
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[ ] TEM
(AHERA) |
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[ ] PLM (EPA Point Count) |
[ ]
RCRA Metals |
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advance.
Indicate preservatives added & media
type. |
| [ ] 72 hour* |
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[ ]
Aqueous |
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[ ]
Waste |
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[ ] TEM
(EPA Level II) |
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[ ] PLM (Qualitative only) |
[ ] ________________________ |
Indicate analysis
method for organics tests. |
| [ ] STANDARD (5
days) |
[ ]
Bulk |
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[ ]
Wastewater |
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____________________________ |
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[ ]
NYELAP 198.1/.4 |
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[ ] ________________________________ |
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| [ ] Standard Full
TCLP (10d) |
[ ]
Hi-Vol Filter (PM10) |
[ ] Water,Drinking |
Miscellaneous
Tests |
[ ] CAELAP (EPA Interim) |
Metals-Total
Conc. |
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| [ ] Weekend* |
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[ ]
Hi-Vol Filter (TSP) |
[ ]
Compliance |
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Total Dust (NIOSH 0500) |
[ ] TEM
(Chatfield) |
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TCLP / Lead |
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| [ ]
_____________________ |
[ ] Oil |
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[ ]
Wipe |
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[ ]
Resp. Dust (NIOSH 0600) |
[ ] _____________________ |
[ ]
TCLP / RCRA Metals |
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| * not available for all tests |
[ ]
Paint |
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[ ] Wipe, Composite |
[ ]
Silica - FTIR (NIOSH 7602) |
FOR
ASBESTOS AIR: |
[ ]
TCLP / Full (w/ organics) |
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| Schedule rush organics & |
[ ]
Sludge |
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[ ] _____________________ |
[ ]
Silica - XRD (NIOSH 7500) |
TYPE OF RESPIRATOR |
[ ] __________________________________ |
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| weekend tests in advance. |
[ ]
Soil |
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[ ] _____________________ |
[ ]
____________________________ |
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USED: ___________________ |
[ ] ______________________________________ |
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Organics |
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Wipes |
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Information
for Air Samples |
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Organics |
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Date |
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Sample
Identification |
Wiped |
Type1 |
Time2 |
Flow
Rate3 |
Total4 |
# con- |
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| Sample # |
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Sampled |
Time |
(e.g.
Employee, SSN, Bldg, Material) |
Area
(ft²) |
A,B,P,E |
Start |
Stop |
Start |
Stop |
Air
Vol |
tainers |
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