Water Pollution (WP) 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 I
EPA Analyte #
</>
Reporting Value
Units
Method Description
 
Aluminum [Al]
0001
ug/L
 
Antimony [Sb]
0016
ug/L
 
Arsenic [As]
0002
ug/L
 
Barium [Ba]
0237
ug/L
 
Beryllium [Be]
0003
ug/L
 
Boron [B]
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
Molybdenum [Mo]
0074
ug/L
Nickel [Ni]
0011
ug/L
Selenium [Se]
0013
ug/L
Silver [Ag]
0017
ug/L
Strontium [Sr]
0075
ug/L
Thallium [Tl]
0018
ug/L
Tin [Sn]
0239
ug/L
Titanium [Ti]
0076
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
EPA Analyte #
</>
Reporting Value
Units
Method Description

Sample Lot #

Total Residual Chlorine
0098
mg/L
Color
PC units
Total Cyanide
0071
mg/L
Chromium VI
0238
ug/L
Oil & Grease
0104
mg/L
Hexane Extractable Materials  
mg/L
Total Phenolics (4AAP)
0097
mg/L
Sulfide  
mg/L
Turbidity  
NTU
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 Simple Nutrients sample lot number to the right
asi Lot #:
Simple Nutrients
EPA Analyte #
</>
Reporting Value
Units
Method Description
Ammonia as N
0031
mg/L
Nitrate as N
0032
mg/L
Nitrate as N
0032
mg/L
Nitrate + Nitrite as N
0032
mg/L
           
Orthophosphate as P
0033
mg/L
           
Complex Nutrients
EPA Analyte #
</>
Reporting Value
Units
Method Description
Total Kjeldahl Nitrogen
0034
mg/L
Total Phosphorus
0035
mg/L
Please enter the Minerals sample lot number to the right
asi Lot #:
Minerals
EPA Analyte #
</>
Reporting Value
Units
Method Description
Alkalinity, total (CaCO3)
0027
mg/L
Chloride
0028
mg/L
 
Fluoride
0029
mg/L
Potassium [K]
0026
mg/L
Sodium [Na]
0025
mg/L
Specific Conductance (25 degrees C)
0020
umhos/cm
Sulfate
0030
mg/L
Please enter the Hardness sample lot number to the right
asi Lot #:
Hardness
EPA Analyte #
</>
Reporting Value
Units
Method Description
Calcium [Ca]
0023
mg/L
Hardness, calcium (CaCO3)
mg/L
Hardness, total (CaCO3)
0022
mg/L
Magnesium [Mg]
0024
mg/L
Please enter the pH sample lot number to the right
asi Lot #:
pH
EPA Analyte #
</>
Reporting Value
Units
Method Description
pH
0019
S.U.
Please enter the Solids sample lot number to the right
asi Lot #:
Solids
EPA Analyte #
</>
Reporting Value
Units
Method Description
Non-Filterable Residue (TSS)
0072
mg/L
Total Dissolved Solids at 180 degrees
0021
mg/L
Total Solids
0105
mg/L

Additional comments: