Aquacheck Applicaation Form 2012 - 2013

7/27/2019 Aquacheck Applicaation Form 2012 - 2013

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Aquacheck Application Form2012-13

LGC Standards Proficiency Testing, 1 Chamberhall Business Park, Chamberhall Green, Bury, BL9 0AP, UK.Telephone: + 44 (0) 161 762 2500, Fax: + 44 (0) 161 762 2501

E-mail: [email protected] Web: www.lgcpt.com Page 1 of 6V1

Please find below the Aquacheck 2012-2013 distribution schedule. Please complete all the relevant sections of theapplication form indicating the samples required on pages 2 - 4 and return to LGC Standards Proficiency Testing by email,fax or post.

April 2012-March 2013 Samples

RoundDespatch

DateReportingDeadline

Clean WatersRadiochem

Waste WatersSoils &Sludges

Ecotox

AQ424 16 Apr 08 May 4G 5G 6A 6B 6C 7A 7B 7C 7D 8 9 22 22A 25 26 28 30 31

AQ425 30 Apr 21 May 1H 1S 2H 2S 2A 3 4 5 5A 5B 5C 14

AQ426 21 May 11 Jun 1A 3A 3B 3C 18A 18B 18C 19A 19B 19C 19D 20 21 23 24 27 50

AQ427 06 Jun 27 Jun 10 11 12 12C 15 17A 17B 17C 17D 29 13 16

AQ428 18 Jun 09 Jul 5G 6A 6C 7A 7B 7C 7D 8 8B 9 22 25 30 31

AQ429 02 Jul 23 Jul 1H 1S 2H 2S 3 4 5 5B 14

AQ430 16 Jul 06 Aug 1A 3A 3B 3C 18A 18C 19A 19B 19C 19D 20 21 23 50

AQ431 06 Aug 28 Aug 10 11 12 12C 17A 17B 17C 17D 13

AQ432 28 Aug 18 Sep 5G 6A 6B 6C 7A 7B 7C 7D 8 8B 9 22 25 26 28

AQ433 10 Sep 01 Oct 1H 1S 2H 2S 2A 3 4 5 5A 5B 5C 14

AQ434 24 Sep 15 Oct 1A 3A 3B 3C 18A 18B 18C 19A 19B 19C 19D 20 21 23 24 27 50

AQ435 08 Oct 29 Oct 10 11 12 12C 15 17A 17B 17C 17D 29 13 16

AQ436 22 Oct 12 Nov 4G 5G 6A 6C 7A 7B 7C 7D 8 9 22 22A 25 30 31

AQ437 05 Nov 26 Nov 1H 1S 2H 2S 3 4 5 5B 14

AQ438 19 Nov 10 Dec 1A 3A 3B 3C 18A 18C 19A 19B 19C 19D 20 21 23 50

AQ439 03 Dec 07 Jan 2013 10 11 12 12C 17A 17B 17C 17D 13

AQ440 14 Jan 2013 04 Feb 4G 5G 6A 6B 6C 7A 7B 7C 7D 8 8B 9 22 22A 25 26 28 30 31

AQ441 28 Jan 18 Feb 1H 1S 2H 2S 2A 3 4 5 5A 5B 5C 14

AQ442 11 Feb 04 Mar 1A 3A 3B 3C 18A 18B 18C 19A 19B 19C 19D 20 21 23 24 27 50

AQ443 25 Feb 18 Mar 10 11 12 12C 15 17A 17B 17C 17D 29 13 16

For details on the full t echnical specification of the scheme please refer to the Aquacheck Scheme Descript ion.

Please fill in your address details below:

Returning customer Lab ID: Purchase order no.:(compulsory)

AQ

Send Test Materials to:

Contact name:Department:Company:

Address:

Town/City:Post/Zip code:Country:TEL:

FAX:E-mail:

Send Reports Notification to:

Contact name:

E-mail:

(An email will be sent to this address tonotify when the report is available todownload from PORTAL, the onlinereporting system).

Send Invoices to:

Contact name:Department:Company:

Address:

Town/City:Post/Zip code:Country:TEL:

FAX:E-mail:VAT no.:


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Please indicate the samples and rounds required on pages 2-4.

* Maximum number of distributions is three

Sample Clean Waters Inorganic and Nutrients Round number(s) required

1H Major Inorganic Components (Hard Water)

1S Major Inorganic Components (Soft Water)

2H Nutrients and Others (Hard Water)

2S Nutrients and Others (Soft Water)

N.B: The per annum discount is applicable for all laboratories taking part in a combination of five rounds of 1H+1S or 2H+2S.

1A Major Ions in Higher Salinity Potable Water

2A* pH in Poorly Buffered Waters

3 Non-specific analytes

3A Inorganic Disinfection By-products

3B Free Chlorine

3C Combined Chlorine

4 Metals (Preserved in 0.5% Nitric Acid)

4G*Metals in Groundwater (Preserved in 0.5%Nitric Acid)

5 Toxic Metals (Preserved in 0.5% Nitric Acid)

5A*Metals for Hydride Generation (Preserved in0.5% Hydrochloric Acid)

5B EQS Metals (Preserved in 0.5% Nitric Acid)

5C* Chromium (VI) in Clean Water

5G Toxic Metals in Groundwater (Preserved in0.5% Nitric Acid)

Sample Clean Waters - Organic Round number(s) required

6A Haloforms and Chlorinated Solvents

6B* Phenols

6C Benzene, Toluene and Xylenes

7A Organochlorine Pesticides7B Chlorinated Solvents

7C Polycyclic Aromatic Hydrocarbons

7D Polychlorinated Biphenyls

8 Triazines, Urons and Acid Herbicides

8B* Herbicides

9 Organophosphorus Pesticides

26* PFOS and PFOA

28* New - Formaldehyde


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* Maximum number of distributions is three

SampleWaste Waters and Effluents Inorganic and

NutrientsRound number(s) required

10 Nutrients and other analytes11 Non-specific analytes

12 Metals (Preserved in 0.5% Nitric Acid)

12C Chromium (VI) in Waste Water

15* New - Settleable Solids

29* New - High and Low COD

Sample Sewage Sludge Inorganic Determinands Round number(s) required

13

Sewage sludge inorganics and specific

elements16* Compositional Analysis of Sewage Sludge

Sample Soils Inorganic Determinands Round number(s) required

14Agricultural soil inorganics and specificelements

SampleWaste Waters and Effluents Industrial Waste

WatersRound number(s) required

17A Major waste water analytes

17B Total Phenol, Cyanide and Sulfate

17C Metals (Preserved in 0.5% Nitric Acid)

17D Ammonia, Phosphate and Nitrogen

Sample Waste Waters - Organic Round number(s) required

18A Haloforms and Chlorinated Solvents

18B* Phenols

18C Benzene, Toluene and Xylenes19A Organochlorine Pesticides

19B Chlorinated Solvents

19C Polyaromatic Hydrocarbons

19D Polychlorinated Biphenyls

20 Triazines, Urons and Acid Herbicides

21 Organophosphorus Pesticides

23 Mineral Oil in Water

24* Oil and Grease in Water

27* AOX in Wastewater


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* Maximum number of distributions is three** Maximum number of dis tributi ons is four

Extra sample costs

Full additional samples are available. Please contact LGC Standards Proficiency Testing for the pricedetails.

For additional waters or spikes please specify your requirements below stating clearly the number ofadditional samples and the round.

Sample Qualitative Waters Round number(s) required

22 Qualitative Organics by GCMS22A* Qualitative Organics by Purge and Trap GCMS

25 Qualitative Determination in Clean Water

Sample Radiochemistry Round number(s) required

30** Gross Alpha and Gross Beta in Clean Water

31** Aqueous Tritium in Clean Water

Sample Ecotoxicology Round number(s) required

50 Ecotoxicology Tests


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Aquacheck Tr ials

Please indicate the samples required below:

RoundDespatch

DateReportingDeadline

SampleSample required

(please tick)

AS143 16 Apr 08 May High Chlorate and Chlorite

AS144 30 Apr 21 May Nonionic Surfactants

AS145 21 May 11 Jun Water Framework Directive Substances

AS146 06 Jun 27 Jun Steroid oestrogens/Alkylphenol ethoxylates

AS147 18 Jun 09 Jul Pharmaceuticals/EDTA

AS148 02 Jul 23 Jul Sulfide

AS149 16 Jul 06 Aug Regenerated water(New)

AS150 06 Aug 28 Aug MCerts

AS151 28 Aug 18 Sep Metals in High Salinity Water

AS152 10 Sep 01 Oct Triclosan

AS153 24 Sep 15 Oct Nonionic Surfactants

AS154 08 Oct 29 Oct Chlorophyll (New)

AS155 22 Oct 12 Nov Acrylamide

AS156 05 Nov 26 Nov Water Framework Directive Substances

AS157 19 Nov 10 Dec Steroid oestrogens/Alkylphenol ethoxylates

AS158 03 Dec 07 Jan 2013 Pharmaceuticals/EDTA

AS159 14 Jan 2013 04 Feb Sulfide

AS160 28 Jan 18 Feb Semi-volatile Organic Compounds

AS161 11 Feb 04 Mar Metals in High Salinity Water

AS162 25 Feb 18 Mar MCerts

For details on the full technical specification of the samples please refer to the Aquacheck SchemeDescription.

Please note that the Aquacheck trial samples are not currently within the scope of LGC Standards accreditation.

For participants wishing to take part in the Water Framework Directive Trial (Round 145 and Round 156), pleaseindicate which samples are required below. A full description of the samples can be found in the SchemeDescription.

Sample A B C D E F G H I J

R145 (please tick) N/A

R156 (please tick) N/A N/A

N/A indicates where samples are unavailable for a particular round. Collaborative trials involving metals,organotins, alkylphenols, and chloropesticides will also be provided, in conjunction with the WFD-PT network.Details of these trials will be provided separately.


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Please note:

Please contact LGC Standards Proficiency Testing for prices.

VAT (charged at the prevailing rate) is payable by all participants based in the UK and by those in therest of the European Union if a VAT Registration Number is not provided.

Participants will pay an additional fee to cover courier charges. For details please contact LGCStandards Proficiency Testing.

All courier charges set by LGC Standards Proficiency Testing do not include local import charges,taxes (etc.), which must be paid by the participant.

Do not send remittance with this form, you will be invoiced subsequently for the full yearsparticipation.

No refunds will be given for failure to take part in any round of the PT scheme or for cancellation ofrounds that have already been invoiced.

LGC Standards Proficiency Testing reserves the right to not send samples or the report for previoussamples to any participant that has not paid their subscriptions within the terms stated on the invoice.

LGC Standards Proficiency Testing cannot guarantee the number of participants that will returnresults for any particular parameter in each round.

Please note that the prices stated are for reporting results and receiving reports electronically viaPORTAL (internet reporting). If alternative data entry or reporting methods are required, furthercharges apply. Please contact LGC Standards Proficiency Testing for the current charges.

Aquacheck Trial samples will be run subject to the registration of a sufficient number of participantsand LGC Standards Proficiency Testing reserves the right not to provide the samples should theyprove technically impractical.

Signature Date

LGC Standards would like to be able to contact you from time to time with information about the LGC Group,its activities, products and services. By completing and returning this form to us, you agree to your personalinformation being used by LGC Standards and other members of the LGC Group for the administration andprovision of our products and services and for related marketing activities. You can change your marketingpreferences at any time by emailing [email protected]

Documents

Aquacheck Applicaation Form 2012 - 2013