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Organization:_____________________________________________________
Address:_________________________________________________________
Telephone:(___)_______ fax:______ e-mail:__________
Contact Person:____________________________________________________
Date of Sample Receipt: _____________________________________________
Method of Storage: _________________________________________________
Is participation in this intercomparison a licence requirement for your organization?
Did the same analyst perform all of the analyses?
If "No", please indicate which analyses were performed by each analyst using the analyst's initials in the column labelled Analyst.
Have the results been corrected for background?
Have the results for the spike concentration already been decay-corrected to the date of spiking?
Analytical Procedure:
What is the Minimum Detectable Activity (MDA) for your method?_______
State how this way determined
Comments:
Please submit results to the Bioassay Section no later than one month after the measurements took place.
Results can be sent by:
Fax: (613) 957-1089
E-mail: Maria_Zamora@hc-sc.gc.ca
| Tritium | Carbon-14 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Date Analysed (m/ d/ yy) |
Day | Sample Code |
Count Time (min) |
Total Counts |
Counting Efficiency |
Concentration (Bq/L) |
Total Counts |
Counting Efficiency |
Concentration (Bq/L) |
Analyst |
| 1 | sample background |
|||||||||
| 1 | 1 | |||||||||
| 1 | 2 | |||||||||
| 2 | sample background |
|||||||||
| 2 | 3 | |||||||||
| 2 | 4 | |||||||||
| 3 | sample background |
|||||||||
| 3 | 5 | |||||||||
| 3 | 6 | |||||||||
| 4 | sample background |
|||||||||
| 4 | 7 | |||||||||
| 4 | 8 | |||||||||
| 5 | sample background |
|||||||||
| 5 | 9 | |||||||||
| 5 | 10 | |||||||||