Qualitycheck Proficiency Testing Schemes Application Form - 2016

Qualitycheck Proficiency Testing Schemes

Independent external evaluation of the analytical competence of testing laboratories

Application Form - 2016 Customize your participation, and only pay for what you need! The laboratory may choose:

 the measurands to be evaluated;

 the matrix of interest;

 the period in which to participate.

Instruction for the compilation 1 - Please complete the relevant pages, including “General Information”, selecting (please tick ✓ ) for each matrix the measurands and the period in which you want to participate.

2 - Send by email ([email protected]) or by FAX (0039 0656562874), the Application Form compiled.

3 - In three days, you will receive our Quote with the price of participation, including the transportation cost.

Qualitycheck S.r.l.s.

Application form Qualitycheck Proficiency Testing - 2016 (Mod. PG05-1, rev1 del 26/07/2015)

Phone: 0039 0621127870 – Fax: 0039 0656562874

website: www.qualitychecksrl.com

Email: [email protected]

Distribution Schedule 2016 - Qualitycheck Proficiency Testing Schemes Qualitcyheck Proficiency Testing Schemes↓

Jan /16

Feb/ 16

Mar/16

Apr/16

May/16

Jun/16

Jul/16

Aug/16

Sep/16

Oct/16

Nov/16

Dec/16

Physical-Chemical parameters in natural waters Physical-Chemical parameters in wastewater Metals in natural waters

Round June 2016

Round March 2016

Microbiological parameters in wastewater

Round October 2016

Microbiological parameters in drinking water

Metals in wastewater

Round April 2016

Metals in sewage sludge

Round September 2016

Metals in contaminated soils

PAHs in contaminated soils Pesticides in contaminated soils Leaching test according to standard EN 12457-2 Hydrocarbon Oil Index according to standard ISO 9377-2 Registration deadline

Proficiency testing scheme

Round

Registration deadline

Despatch date

Reporting deadline

Final Report date

April 2016

12 February

4 April

29 April

16 May

March 2016 June 2016

12 February


3 May

7 March 13 June

8 April 8 July

26 April 25 July

Telefono: 0039 0621127870 – Fax: 0039 0656562874

Round

Registration deadline

October 2016

29 July

September 2016

29 July

19 September


(Mod. PG01-3, rev1 del 09/01/2016)

Despatch date 3 October

Reporting deadline

Final Report date

4 November

21 November

14 October

31 October



Independent external evaluation of the analytical competence of testing laboratories

Application Form - 2016

General information Contact Name (first name and last name): Name of Organization:

Address for shipment of the proficiency testing items Street Address: Postal Code:

City/ Province/Country: Phone / Fax: Email:

PRIVACY In accordance with and in compliance with the privacy Italian law (Dlgs. 30 June 2003, n. 196) we authorize the use of personal data for any purpose related to this service.

DATE: _______________________ SIGNATURE: _______________________________________


pag. 1 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 MICROBIOLOGICAL PARAMETERS IN WATERS DRINKING WATER March 2016

Total aerobic count at 22°C

07 Mar

⃝

Round requited (please tick ✓ ) June 2016

26 Apr

06 Jun

⃝

Total aerobic count at 37°C

Escherichia coli

Pseudomonas Aeruginosa

⃝

⃝

⃝

⃝

⃝

⃝

⃝

21 Nov

⃝

⃝

⃝

Enterococci

03 Oct

⃝

⃝

Batteri Coliformi

⃝

18 Jul

October 2016

⃝

⃝

⃝

Note: Measurement methods for the determination of the Colony Forming Units (CFU/ml).

WASTEWATER March 2016

Total Coliforms

Fecal Coliforms

Escherichia coli Enterococci

Salmonella spp (presence/absence)

07 Mar

⃝

Round requited (please tick ✓ )

26 Apr

June 2016

06 Jun

⃝ ⃝ ⃝ ⃝

⃝ ⃝ ⃝ ⃝ ⃝

18 Jul

October 2016

03 Oct

⃝

21 Nov

⃝ ⃝ ⃝ ⃝

Note: Measurement methods for the determination of the Colony Forming Units (CFU/ml).

= Despatch date


= Final Report date

pag. 2 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874


e-mail: [email protected]


Application Form - 2016 PHYSICAL-CHEMICAL AND CHEMICAL PARAMETERS IN NATURAL WATERS March 2016 07 Mar

Alkalinity

⃝

Bromide

⃝

Calcium

⃝

Chloride

⃝

Conductivity

⃝

Fluoride

⃝

Magnesium

⃝

Nitrate

⃝

Nitrite

Permanganate index

⃝ ⃝

Total Organic Carbon (TOC)

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

18 Jul

October 2016

03 Oct

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

⃝

⃝

⃝

⃝

⃝ ⃝

-

⃝

21 Nov

⃝

⃝

⃝

-

Turbidity

⃝

⃝

⃝

Total Hardness

⃝

⃝

⃝

Total Dissolved Solids (Dried at 180°C)

⃝

⃝

Potassium

Sulphate

06 Jun

⃝

⃝

Sodium

June 2016

-

pH

Phosphate


26 Apr

⃝

Ammonia

= Despatch date

⃝


⃝ ⃝ ⃝

⃝

⃝

⃝

⃝

⃝

⃝

= Final Report date

pag. 3 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 PHYSICAL-CHEMICAL AND CHEMICAL PARAMETERS IN WASTEWATER Round requited (please tick ✓ )

March 2016

Ammonia Nitrogen

07 Mar

⃝

18 Jul

03 Oct

⃝

⃝

⃝

⃝

COD

⃝

⃝

⃝

⃝ ⃝

Conductivity

⃝

Fluoride

⃝

Nitrate Nitrogen

⃝

Nitrite Nitrogen

⃝

pH

⃝

Sulphate

⃝

Total Organic Carbon (TOC)

Total Nitrogen

Total suspended solids (TSS)

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

⃝

⃝

-

⃝

⃝

⃝

21 Nov

⃝

-

⃝

Total phosphorus


06 Jun

October 2016

BOD5

Chloride

= Despatch date

⃝

26 Apr

June 2016

⃝

= Final Report date

pag. 4 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 METALS IN NATURAL WATERS


March 2016

Aluminum (Al)

07 Mar

⃝

Arsenic (As)

⃝

Barium (Ba)

⃝

Beryllium (Be)

⃝

Boron (B)

-

Calcium (Ca)

Cadmium (Cd)

⃝

Cobalt (Co)

⃝

⃝

Chromium (Cr)

⃝

Copper (Cu)

⃝

Iron (Fe)

-

Magnesium (Mg)

Manganese (Mn)

⃝

Molybdenum (Mo)

⃝

⃝

Mercury (Hg)

⃝

Nickel (Ni)

⃝

Lead (Pb)

-

Potassium (K)

⃝

Selenium (Se)

⃝

Silver (Ag)

-

Sodium (Na)

Thallium (Tl)

⃝

Vanadium (V)

⃝

⃝

Tin (Sn)

⃝

Zinc (Zn)


06 Jun

⃝

Antimony (Sb)

= Despatch date

⃝

26 Apr

June 2016

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

18 Jul

October 2016

03 Oct

⃝

21 Nov

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date pag. 5 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 METALS IN WASTEWATER


March 2016

Aluminum (Al)

07 Mar

⃝

Arsenic (As)

⃝

Barium (Ba)

⃝

Beryllium (Be)

⃝

Boron (B)

⃝

Cadmium (Cd)

⃝

Chromium (Cr)

-

Chromium VI (Cr VI) Cobalt (Co)

⃝

Iron (Fe)

⃝

⃝

Copper (Cu)

⃝

Manganese (Mn)

⃝

Mercury (Hg)

⃝

Molybdenum (Mo)

⃝

Nickel (Ni)

⃝

Lead (Pb)

⃝

Selenium (Se)

⃝

Silver (Ag)

⃝

Tin (Sn)

⃝

Vanadium (V)

⃝

Zinc (Zn)


06 Jun

⃝

Antimony (Sb)

= Despatch date

⃝

26 Apr

June 2016

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

18 Jul

October 2016

03 Oct

⃝

21 Nov

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date pag. 6 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 METALS IN CONTAMINATED SOILS

Round requited (please tick ✓ ) April 2016 September 2016

04 Apr

Antimony (Sb)

Arsenic (As)

⃝

Cadmium (Cd)

⃝

Cobalt (Co)

⃝

Chromium (Cr)

⃝

Iron (Fe)

⃝

Manganese (Mn)

⃝

Mercury (Hg)

⃝

Nickel (Ni)

⃝

Lead (Pb)

⃝

Copper (Cu)

⃝

Selenium (Se)

⃝

Tin (Sn)

⃝

Thallium (Tl)

⃝

Vanadium (V)

⃝

Zinc (Zn)


19 Sep

⃝

Beryllium (Be)

= Despatch date

⃝

16 May

⃝

⃝

31 Oct

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date

pag. 7 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 METALS IN SEWAGE SLUDGE


April 2016 04 Apr

Aluminum (Al)

⃝

Cadmium (Cd)

⃝

Chromium (Cr)

⃝

Cobalt (Co)

⃝

Copper (Cu)

⃝

Iron (Fe)

⃝

Lead (Pb)

⃝

Manganese (Mn)

⃝

Mercury (Hg)

⃝

Molybdenum (Mo)

⃝

Nickel (Ni)

⃝

Selenium (Se)

⃝

Vanadium (V)

⃝

Zinc (Zn)


19 Sep

⃝

Arsenic (As)

= Despatch date

⃝

16 May

September 2016

⃝

31 Oct

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date

pag. 8 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 POLYCYCLIC AROMATIC HYDROCARBONS (PAHS) IN CONTAMINATED SOILS Round requited (please tick ✓ )

April 2016 04 Apr

Antracene

⃝

Benzo(a)pyrene

⃝

Benzo(b)fluoranthene

⃝

Benzo(g,h,i)perylene

⃝

Benzo(k)fluoranthene

⃝

Chrysene

⃝

Dibenzo(a,h)anthracene

⃝

Fluoranthene

⃝

Indeno(1,2,3-cd)pyrene

⃝

Phenantrene

⃝

Pyrene


19 Sep

⃝

Benzo(a)anthracene

= Despatch date

⃝

16 May

September 2016

⃝

31 Oct

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date

pag. 9 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 PESTICIDES IN CONTAMINATED SOILS


April 2016 04 Apr

Alachlor

⃝

16 May

September 2016

19 Sep

⃝

Aldrin

⃝

⃝

Chlordane (cis)

⃝

⃝

⃝

Atrazine

⃝

Chlordane (trans)

⃝

Chlordane (cis + trans)

⃝

2,4’-DDD

⃝

4,4’-DDD

⃝

2,4’-DDE

⃝

4,4’-DDE

⃝

2,4’-DDT

⃝

4,4’-DDT

⃝

Dieldrin

⃝

Diuron

⃝

Endosulfan

⃝

Endrin

⃝ ⃝ ⃝

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

Hexachlorobenzene

⃝

⃝

beta-HCH

⃝

⃝

⃝

alfa-HCH

⃝

gamma-HCH (Lindane)

⃝

Simazine

= Despatch date


31 Oct

⃝ ⃝ ⃝

= Final Report date

pag. 10 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 LEACHING TEST ACCORDING TO STANDARD EN 12457-2 (WASTES) Round requited (please tick ✓ )

April 2016 04 Apr

Antimony (Sb)

⃝

Barium (Ba)

⃝

Cadmium (Cd)

⃝

Chromium (Cr)

⃝

Copper (Cu)

⃝

Lead (Pb)

⃝

Mercury (Hg)

⃝

Molybdenum (Mo)

⃝

Nickel (Ni)

⃝

Selenium (Se)

⃝

Zinc (Zn)

⃝

Chloride

⃝

Conductivity

⃝

Dissolved Organic Carbon (DOC)

⃝

pH

⃝

Sulfate

⃝

Total dissolved solids (TDS)


19 Sep

⃝

Arsenic (As)

= Despatch date

⃝

16 May

September 2016

⃝

31 Oct

⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝ ⃝

= Final Report date

pag. 11 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874




Application Form - 2016 HYDROCARBON OIL INDEX ACCORDING TO STANDARD ISO 9377-2 (NATURAL WATER) Round requited (please tick ✓ )

April 2016 04 Apr

Hydrocarbon Oil Index

= Despatch date


⃝

16 May

September 2016

19 Sep

⃝

31 Oct

= Final Report date

pag. 12 of 12


Phone: 0039 0621127870 – Fax: 0039 0656562874

