tri/environmental, nc. test request form a texas …€¦ · tri/environmental, inc. a texas...

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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: COC Line # 1 2 3 4 5 1 2 3 4 5 Authorization: Signature G200 OxidationReduction Potential,ORP D512 WaterSoluble Chloride REPORT RESULTS TO: Special Instructions Boring # / Sample Depth / Sample ID D516 Water Soluble Sulfates D5334 Thermal: AsReceived D5334 Thermal: DryBack Curve D5334 Thermal: Oven Dry D5334 Thermal: Saturated D7626 Loss on Ignition EPA 9045D pH of Soil G51 pH of Soil, Corrosion Testing CHAIN OF CUSTODY / TEST REQUEST FORM N7901 Analytical (3) Testing Standard Sampling Method Printed Name Date Split Spoon / Bag Sample Thin-Walled / Shelby Tube Bulk or Auger Sample API 13A Viscosity Azide Sulfides, Litmus Test C1580 WaterSoluble Sulfates in Soil C837 CEC of Clay Methylene Blue Index D1429 Specific Gravity of Water and Brine D4542 Soluble Salt Content D4972 pH of Soil TR413 DOTD Organic Content G57 Electrical Resistivity SM4500 Sulfides, Methylene Blue T288 Min. Electrical Resistivity T291 Water Soluble Chloride T290 Water Soluble Sulfate WalkleyBlack Soil Organic, Oxidation�� See Soil Testing Scope of Work

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Page 1: TRI/ENVIRONMENTAL, nc. TEST REQUEST FORM A Texas …€¦ · TRI/ENVIRONMENTAL, Inc. A Texas Research International Company COC Page of Primary Contact: Primary Contact's E-mail:

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:

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Please note that this COC has form fields that can be completed within a standard PDF reader. Some clients complete the entire COC electronically, some pre-populate contact information and fill in the samples and assignments by hand, and others complete the entire form by hand in the field. Please have a copy of the COC accompany the sample(s) to the laboratory so that work can be initiated upon receipt with the correct project name, sample identifications, assigned tests, and relevant details in place. Thank you for your business.