STAPLE
HERE
(Exp. 9/30/2000)
Page 1 of 6
U.S. ENVIRONMENTAL PROTECTION AGENCY
WATER POLLUTION LABORATORY PERFORMANCE EVALUATION
STUDY 40 (WP040)
EPA USE ONLY
PI
Pre-Printed Label Goes Here
SEND COMPLETED ORIGINAL TO:
Ms Natalie Murff
USEPA, NERL, EBRD, NWQAPB
26 West M.L. King Drive, Room 525
Cincinnati, OH 45268
MS MURFF MUST RECEIVE YOUR COMPLETED FORM BY 9/15/98 FOR IT TO BE
GUARANTEED OFFICIAL EVALUATION.
RETURN ONLY THIS ORIGINAL FORM TO MS MURFF; DO NOT SEND PHOTO COPIES.
HOWEVER, YOU SHOULD KEEP A PHOTO COPY FOR YOUR OWN RECORDS.
FACSIMILE COPIES OR "SUBSTITUTE" REPORT FORMS WILL NOT BE ACCEPTED.
IT IS YOUR RESPONSIBILITY TO CONTACT YOUR STATE OR REGIONAL COORDINATOR
TO SEE IF THEY REQUIRE A PHOTO COPY OF YOUR FORM FOR THEIR FILES.
REPORT APPROVED BY:
NAME (Print)
TITLE
TELEPHONE
SIGNATURE
DATE
Paperwork Reduction Act Notice
Public reporting burden for this collection of information is estimated to average 6.1 hours per respondent. The estimate is based on analysis for an average of
twenty six analytes per respondent. The estimate includes time for reading instructions, preparation of the performance samples, analyses, gathering and reporting
of the information. Send comments regarding the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods
for minimizing respondent burden, including through the use of automated collection techniques to Director, OPPE Regulatory Information Division, U.S.
Environmental Protection Agency (2137), 401 M. St., SW, Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of
Management and Budget, 725 17th St., NW, Washington, DC 20503, Attn.: Desk Officer for EPA. Include the EPA ICR number and the OMB control number
in any correspondence.
EPA-314 (Cin) Rev. 03-98. Previous editions are obsolete. This report is authorized by law (Public Law 92-500)
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Page 2 of 6
CHEMISTRY DATA
Study Number
W
P
0
4 | 0
Analyte Name
EPA Labcode
EPA
Use
i i
Analyte
Number
i
Sample
Number
Results
Method Quantity
Code | |
TRACE METALS
Aluminum
Arsenic
Beryllium
Cadmium
Chromium
Cobalt
Copper
Iron
Lead
Manganese
Mercury
Nickel
Selenium
Vanadium
Zinc
Antimony
Silver
Thallium
Molybdenum
Strontium
Titanium
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
0
0
0
0
0
o
0 i 1
I
0 ! 2
0 i 3
j
0 i 4
0 ! 6
j
0 i 5
0 ! 7
0 ! 8
j
12
j
1
0
1
1
1
1
1
1
7
7
7
0
9
1
3
4
5
6
7
8
4
5
6
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
i
!
j
j
1
i
i
j
i
i |
i i
i
i i
i
i
1
1
1
!
i
i i
i i
i
!
j
i
!
i
i
i
i
i
j
j
i
i
i
i
i
i
'
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Mg/L
Aig/L
EPA-314 (Cin) Rev. 03-98. Previous editions are obsolete. (Note: The Data Report Form is continued on the next page.)
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Page 3 of6
CHEMISTRY DATA
Study Number
W j P j 0 i 4 i 0
Analyte Name
EPALabcode
j i
EPA
Use
i
i i
i i
Analyte Sample
Number || Number
Spec. Cond. at 25° C
TDS at 180 ° C
Total Hardness
(Calcium Carbonate)
Calcium
Magnesium
Sodium
Potassium
Total Alkalinity
(Calcium Carbonate)
Chloride
Fluoride
Sulfate
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
0
0
0
|
"I
o !
o!
oi
0
0
1
o1
o
Ammonia as N
Nitrate as N
Orthophosphate as P
Total Kjeldahl Nitrogen
Total Phosphorus
PC
PC
PC
PC
PC
0
0
0
0
0
COD
TOC
5-Day BOD
5-Day Carbonaceous
BOD
PC
PC
PC
PC
0
0
0
1
Results
Method
Code
Quantity
MINERALS
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
i 3
i 3
3
0
i
0
1
2
3
4
5
6
7
8
9
0
1
1
1
1
1
1
1
1
1
1
1
i
i i
.
i
i
i
i
i
i
I
i
i
i
i
i
- j
i i
i i
i
1
I
/^MHOS/CM
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
NUTRIENTS
1
2
3
4
5
1
1
1
2
2
i
i
,. i 1 i
-
i
...
i
i
!
i i i
mg/L
mg/L
mg/L
mg/L
mg/L
.' DEMANDS - .',•; ;•';
6
7
8
2
1
1
1
1
i
i
j
|
i i
|
mg/L
mg/L
mg/L
mg/L
EPA-314 (Cin) Rev. 03-98. Previous editions are obsolete. (Note: The Data Report Form is continued on the next page.)
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Page 4 of 6
CHEMISTRY DATA
Study Number
W P
0
4 i 0
Analyte Name
EPA Labcode
i i i
EPA
Use
Analyte
Number
I
Sample
Number
Results
Method
Code
Quantity
PCB's IN WATER MATRIX
PCB in Water
Aroclor 1016/1242
PCB in Water
Aroclor 1232
PCB in Water
Aroclor 1248
PCB in Water
Aroclor 1254
PCB in Water
Aroclor 1260
PC
PC
PC
PC
PC
0 ! 4
I
!
0 i 4
I
0|4
!
1
0 | 4
l
!
1
0 i 4
1
1
0
2
4
5
6
1
2
1
2
1
2
1
2
1
2
j
j
1
1
1
i
f
i
1111
\
j
1
t
t
1
1
1
i
i i
! 1
i i
i I
j
! j
!
!
: I
j (
; i
!
i
i i
i i
i i
!
i i
! |
,
!
r
Aig/L
Aig/L
Aig/L
Aig/L
Mg/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
PCB's IN TRANSFORMER OIL
PCB in Oil
Aroclor 1016/1242
PCB in Oil
Aroclor 1254
PCB in Oil
Aroclor 1260
PC
PC
PC
0 i 9
j
10
1
1
1
I .
1
9
0
1
1
2
1
2
1
2
§
I
!
j
i
i
i
i
i
i
i
i
i
i
I
1
!
i
i
i
1 !
i
i
i
!
mg/KG
mg/KG
mg/KG
mg/KG
mg/KG
mg/KG
PESTICIDES (INSECTICIDES)
Chlordane
Aldrin
Dieldrin
DDD
DDE
DDT
Heptachlor
Heptachlor Epoxide
PC
PC
PC
PC
PC
PC
PC
PC
0 ! 5
I
OJ4
0 ! 4
0 1 4
0 i 5
0 i 5
0! 5
0 j 7
3
7
8
9
0
1
2
8
2
1
1
1
1
1
1
1
i
i
j
i
i
1
i
i
i
i
i
i
j
1
i
i
i
i
i
i
i
i
i
i
i
i
i
i
i
i
1
i
i
i
i
i
r
i
i
j
r
i
i
i
i
i
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
Aig/L
EPA-314 (Cin) Rev. 03-98. Previous editions are obsolete. (Note: The Data Report Form is continued on the next page.)
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Page 5 of 6
CHEMISTRY DATA
Study Number
W [ P ! 0 [ 4 { 0
Analyte Name
EPALabcode
!
EPA
Use
[ i
Analyte Sample
Number 1 Number
Results
Method
Code
Quantity
VOLATILE HALOCARBONS
1,2 Dichloroethane
Chloroform
1,1,1 Trichloroethane
Trichloroethene
Carbon Tetrachloride
Tetrachloroethene
Bromodichloromethane
Dibromochloromethane
Bromoform
Methylene Chloride
Chlorobenzene
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
ols
4
0 i 5 ! 5
j
0 i 5 6
f
OJ5
0 | 5
0 ! 5
0 ! 6
w , 6
0 J6
0 J6
o i
i
VgfL
Mg/L
^g^
ftgfL
£ig/L
yUg/L
EPA-3I4 (Cin) Rev. 03-98. Previous editions are obsolete. (Note: The Data Report Form is continued on the next page.)
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Page 6 of 6
CHEMISTRY DATA
Study Number
W
P
0
4 j 0
Analyte Name
EPA Labcode
i
i
EPA
Use
j
Analyte
Number
pH
Total Cyanide
Non-Filterable
(TSS)
Residue
Oil and Grease
(freon extraction)
Oil and Grease
(hexane extraction)
Total Phenolics
Cby the 4AAP Method)
Total Residual
Chlorine
PC
PC
PC
PC
PC
PC
PC
0
0
0
0
1
0
0
1
7
7
7
0
9
9
j
Sample
Number
Results
Method
Code 1 |
MISCELLANEOUS
9
1
2
•2
J
4
7
8
1
1
1
1
1
1
1
i
j
i
i
i
i
Quantity
|
i !
j i
|
1 1
Units
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
EPA-314 (Cin) Rev. 03-98. Previous editions are obsolete.
•&US. GOVERNMENT PRINTING OFFICE: IMS -«0-070/*0031
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