No

7 Woodshots Meadow Client: Date samples dispatched:

sheet of
Croxley Green Business Park Address: Samples delivered/collected by:
Watford Client e-mail: Sampler I.d.
one project/ site per
Herts Project/Site Name: sheet please
WD18 8YS Project/Site Code:
Turnaround time/date results due:
t: 01923225404 Contact Name: Client PO
f: 01923237404 Tel: Fax: ..................................................
....TB - Tedlar
reception@i2analytical.com Please indicate the analysis required for each sample by marking the boxes CONTAINER OTHER
Bag ............................

L - leachate, O - other

no. of containers
S- soil, W - water,
BH or TP Time AB
Depth Date sample PT AJ SV WV
Lab Use or Sample sample Tub 250g 60g 300ml 40ml
(m) taken CT -
ID taken Carbon
Tube ..............................
SB -
Swab .....................................
PB
- Plastic
Bottle ..........................
BAG -
Bag ...........................................

Total no. of samples: possible hazard identification

special instrcutions / QC; requirements & comments: Non-Hazard Hazardous Unknown
avg. transport temp.
hours in transport
Sample disposal (a fee maybe assessed if samples are retained longer than 1 month) return to client disposal by lab archive for i2 QUOTE NO
LAB USE ONLY LABORATORY NOTES
Data received: time: by:

Data instructed: time: by: