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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?
| Date Analyzed (d/m/y) |
Day | Sample Code | Count Rate (cpm/mL) |
Count Rate (cpm/mL) |
Count Rate (cpm/mL) |
Analyst |
|---|---|---|---|---|---|---|
| Window | Window | Window |
||||
| 1 | BLK | |||||
| 1 | A | |||||
| 2 | BLK | |||||
| 2 | B | |||||
| 3 | BLK | |||||
| 3 | C | |||||
| 4 | BLK | |||||
| 4 | D |
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.
Gross Beta Analysis
Analytical Procedures: (Attach extra sheet if required).
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
| Date Analyzed (d/m/y) |
Day | Sample Code | Isotope I.D. | Activity (Bq/L) |
Analyst |
|---|---|---|---|---|---|
| 1 | A | 1- 2- 3- 4- |
|||
| 2 | B | 1- 2- 3- 4- |
|||
| 3 | C | 1- 2- 3- 4- |
|||
| 4 | D | 1- 2- 3- 4- |
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 decay-corrected to the date of spiking?
Gamma Spectroscopy Analysis
Analytical Procedures: (Attach extra sheet if required).
What is t he Minimum Detectable Amount (MDA) for your measurement system:
| ISOTOPE I.D. | MDA |
|---|---|
| 1- | |
| 2- | |
| 3- | |
| 4- |
State how this was determined (include method of calculation used).
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
| Date Analyzed (d/m/y) |
Day | Sample Code | Activity (Bq/L) |
Analyst |
|---|---|---|---|---|
| 1 | BLK | |||
| 1 | A | |||
| 2 | BLK | |||
| 2 | B | |||
| 3 | BLK | |||
| 3 | C | |||
| 4 | BLK | |||
| 4 | D |
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 reported already been blank-corrected ?
Have the results been decay-corrected to the date of spiking ?
Useful Measurement Range for Method Used :
Lower Limit :_______________________________________________
Upper Limit :_______________________________________________
Sr-90 Analysis
Analytical Procedures: (Attach extra sheet if required).
What is t he Minimum Detectable Amount (MDA) for your measurement system:
State how this was determined (include method of calculation used).
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