DMR-QA Data Return

DMR-QA Program Data Return Form

*Please fill in your information below:*
Name:			asi Client Code:
Company:			US EPA ID #:
Address:			DMRQA Permittee #:
City:	State:	Zip:	Phone #:
email:			Fax #:
Study #:			asi Order #:

Now please fill in the </>, Reporting Value and Method Description for each parameter that you wish to report on. All values reported should be in the units provided in the units column.
Please enter the Trace Metals I sample lot number to the right				asi Lot #:
Trace Metals I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Aluminum [Al]	0001			ug/L
Arsenic [As]	0002			ug/L
Barium [Ba]	0237			ug/L
Beryllium [Be]	0003			ug/L
Cadmium [Cd]	0004			ug/L
Chromium [Cr]	0006			ug/L
Cobalt [Co]	0005			ug/L
Copper [Cu]	0007			ug/L
Iron [Fe]	0008			ug/L
Lead [Pb]	0012			ug/L
Manganese [Mn]	0010			ug/L
Mercury [Hg]	0009			ug/L
Nickel [Ni]	0011			ug/L
Selenium [Se]	0013			ug/L
Strontium [Sr]	0075			ug/L
Vanadium [V]	0014			ug/L
Zinc [Zn]	0015			ug/L
Please enter the Residual chlorine sample lot number to the right				asi Lot #:
Miscellaneous Analytes I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Total Residual Chlorine	0098			mg/L
Please enter the Cyanide sample lot number to the right				asi Lot #:
Miscellaneous Analytes III	EPA Analyte #	</>	Reporting Value	Units	Method Description
Total Cyanide	0071			mg/L
Please enter the Oil & Grease sample lot number to the right				asi Lot #:
Miscellaneous Analytes VII	EPA Analyte #	</>	Reporting Value	Units	Method Description
Oil & Grease	0104			mg/L
Please enter the Phenolics sample lot number to the right				asi Lot #:
Miscellaneous Analytes VIII	EPA Analyte #	</>	Reporting Value	Units	Method Description
Total Phenolics (4AAP)	0097			mg/L
Please enter the Demands sample lot number to the right				asi Lot #:
Demands	EPA Analyte #	</>	Reporting Value	Units	Method Description
Biochemical Oxygen Demand	0038			mg/L
Carbonaceous BOD	0102			mg/L
Chemical Oxygen Demand	0036			mg/L
Total Organic Carbon	0037			mg/L
Please enter the Nutrients sample lot number to the right				asi Lot #:
Nutrients I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Ammonia as N	0031			mg/L
Nitrate as N	0032			mg/L
Orthophosphate as P	0033			mg/L
Total Kjeldahl Nitrogen	0034			mg/L
Total Phosphorus	0035			mg/L
Please enter the pH sample lot number to the right				asi Lot #:
Minerals III	EPA Analyte #	</>	Reporting Value	Units	Method Description
pH	0019			S.U.
Please enter the Solids sample lot number to the right				asi Lot #:
Minerals IV [Solids]	EPA Analyte #	</>	Reporting Value	Units	Method Description
Non-Filterable Residue (TSS)	0072			mg/L

Additional comments: