WS Series Inorganic Data Return

Water Supply (WS) 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 I sample lot number to the right				asi Lot #:
Trace Metals I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Aluminum [Al]	0235			ug/L
Arsenic [As]	0001			ug/L
Barium [Ba]	0002			ug/L
Beryllium [Be]	0141			ug/L
Cadmium [Cd]	0003			ug/L
Chromium [Cr]	0004			ug/L
Copper [Cu]	0091			ug/L
Iron [Fe]	0284			ug/L
Lead [Pb]	0005			ug/L
Manganese [Mn]	0236			ug/L
Mercury [Hg]	0006			ug/L
Nickel [Ni]	0142			ug/L
Selenium [Se]	0007			ug/L
Vanadium [V]	0238			ug/L
Zinc [Zn]	0239			ug/L
Please enter the Trace Metals II sample lot number to the right				asi Lot #:
Trace Metals II	EPA Analyte #	</>	Reporting Value	Units	Method Description
Antimony [Sb]	0140			ug/L
Boron [B]	0226			ug/L
Molybdenum [Mo]	0237			ug/L
Silver [Ag]	0008			ug/L
Thallium [Tl]	0143			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
Residual Free Chlorine	0022			mg/L
Please enter the Cyanide sample lot number to the right				asi Lot #:
Miscellaneous Analytes III	EPA Analyte #	</>	Reporting Value	Units	Method Description
Cyanide	0146			mg/L
Please enter the Turbidity sample lot number to the right				asi Lot #:
Miscellaneous Analytes IX	EPA Analyte #	</>	Reporting Value	Units	Method Description
Turbidity	0023			mg/L
Please enter the Demands sample lot number to the right				asi Lot #:
Demands	EPA Analyte #	</>	Reporting Value	Units	Method Description
Total Organic Carbon	0263			mg/L
Please enter the Disinfection By-Products sample lot number to the right				asi Lot #:
Demands	EPA Analyte #	</>	Reporting Value	Units	Method Description
Bromate	0193			ug/L
Bromide	0260			ug/L
Chlorate	0194			ug/L
Chlorite	0195			ug/L
Please enter the Nutrients sample lot number to the right				asi Lot #:
Nutrients I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Nitrite as N	0009			mg/L
Nitrate as N	0092			mg/L
Orthophosphate as P	0261			mg/L
Please enter the Minerals I sample lot number to the right				asi Lot #:
Minerals I	EPA Analyte #	</>	Reporting Value	Units	Method Description
Alkalinity, total (CaCO3)	0027			mg/L
Fluoride	0010			mg/L
Potassium [K]	0286			mg/L
Sodium [Na]	0029			mg/L
Specific Conductance (25 degrees C)	0288			umhos/cm
Sulfate	0145			mg/L
Please enter the Minerals II sample lot number to the right				asi Lot #:
Minerals II	EPA Analyte #	</>	Reporting Value	Units	Method Description
Calcium [Ca]	0283			mg/L
Chloride	0287			mg/L
Ca Hardness as CaCO3	0025			mg/L
Magnesium [Mg]	0285			mg/L
Please enter the pH sample lot number to the right				asi Lot #:
Minerals III	EPA Analyte #	</>	Reporting Value	Units	Method Description
pH	0026			S.U.
Please enter the Solids sample lot number to the right				asi Lot #:
Minerals IV [Solids]	EPA Analyte #	</>	Reporting Value	Units	Method Description
Total Filterable Residue (TDS)	0024			mg/L

Additional comments: