SW Series Inorganic Data Return

Solid Waste (SW) Series Inorganic 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 sample lot number to the right				asi Lot #:
Trace Metals	NELAC Analyte #	</>	Reporting Value	Units	Method Description
Aluminum [Al]	1000			mg/kg
Antimony [Sb]	1005			mg/kg
Arsenic [As]	1010			mg/kg
Barium [Ba]	1015			mg/kg
Beryllium [Be]	1020			mg/kg
Boron [B]	1025			mg/kg
Cadmium [Cd]	1030			mg/kg
Calcium [Ca]	1035			mg/kg
Chromium [Cr]	1040			mg/kg
Cobalt [Co]	1050			mg/kg
Copper [Cu]	1055			mg/kg
Iron [Fe]	1070			mg/kg
Lead [Pb]	1075			mg/kg
Magnesium [Mg]	1085			mg/kg
Manganese [Mn]	1090			mg/kg
Mercury [Hg]	1095			mg/kg
Molybdenum [Mo]	1100			mg/kg
Nickel [Ni]	1105			mg/kg
Potassium [K]	1125			mg/kg
Selenium [Se]	1140			mg/kg
Silver [Ag]	1150			mg/kg
Sodium [Na]	1155			mg/kg
Strontium [Sr]				mg/kg
Thallium [Tl]	1165			mg/kg
Tin [Sn]	1175			mg/kg
Titanium [Ti]				mg/kg
Vanadium [V]	1185			mg/kg
Zinc [Zn]	1190			mg/kg
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 Chromium VI sample lot number to the right				asi Lot #:
Miscellaneous Analytes V	EPA Analyte #	</>	Reporting Value	Units	Method Description
Chromium VI	0238			mg/kg

Additional comments: