Group Requirements Registration Form EURO Pricing April 2006 ...

Group Requirements Registration Form
EURO Pricing
April 2006 – March 2007
For inclusion in the Aquacheck scheme please complete and return this form for
the attention of Aquacheck Ltd, Europa Business Park, Barcroft Street, Bury,
Lancashire, BL9 5BT, United Kingdom.
Organisation
……………………………………………………………………
Returning customers Lab ID
……………………………………………………………………
Laboratory
Address
……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
Postcode or ZIP
Country
Telephone No
(Please include all codes)
Fax. No.
E-mail
(Please print)
……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
Contact Names
Sample Receipt
Report Receipt
Invoicing
PO Number (if required)
VAT No.
Signature
……………………………………………………………………
……………………………………………………………………
………………………………………………………………….
……………………………………………………………………
……………………………………………………………………
(Non-UK participants - Failure to include VAT number may
result in VAT being charged on invoice).
……………………………………………………………………

Group Requirements Registration Form
Customers wishing to participate in all available rounds of samples during the
Aquacheck year should put all in the number of distributions required box, alternatively,
and for customers taking part in less than the maximum number of rounds, please
highlight your requested groups and distribution choices in the Grid on page 6
Group
Clean Waters
Inorganic and Nutrients
€ Price
per dist
Price for full
year, including
a 10%
discount
1 Major Inorganic Components 153.00 688.50
Number of
distributions
you require
Matrix Water
Type
Dist 305
9/5/05
Dist 309
18/7/05
Dist 313
12/9/05
Dist 317
7/11/05
Dist 321
30/1/06
Soft (Low
Carbonate)
Hard (High
Carbonate)
Group
Clean Waters
Inorganic and Nutrients
€ Price
per dist
Price for full
year including
a 10%
discount
2 Nutrients and Others 153.00 688.50
Matrix Water
Type
Soft (Low
Carbonate)
Hard (High
Carbonate)
Dist 305
9/5/05
Dist 309
18/7/05
Dist 313
12/9/05
Dist 317
7/11/05
Number of
distributions
you require
Dist 321
30/1/06
For Groups 1 & 2 please ensure the type of water required is highlighted
Group
Clean Waters Inorganic and Nutrients
€ Price
per dist
Price full
year
includes a
10%
discount
1A Major Ions in High Salinity Potable Water 126.00 567.00
2A* pH in Poorly Buffered Waters 170.00 459.00
3 Non-Specific Determinands 130.00 585.00
3A Inorganic Disinfection By-products 128.00 576.00
3B Free Chlorine 126.00 567.00
4 Metals 144.00 648.00
4G Metals in Groundwater 144.00 648.00
5 Toxic Metals 144.00 648.00
5G Toxic Metals in Groundwater 144.00 648.00
5A* Metals for Hydride Generation 104.00 281.00
5B EQS Metals 146.00 657.00
Number of
distributions
you require
2
Telephone: 0161 763 8777 International + 44 161 763 8777
Fax: 0161 763 8788 International + 44 161 763 8788
E-mail
aquacheck@aquacheck.net

Group Requirements Registration Form
Clean Waters Organic
Year Price
Group
€ Price
includes
10%
discount
6A Haloforms & Chlorinated Solvents 129.00 1161.00
6B* Phenols 129.00 349.00
6C Benzene, Toluene and Xylenes (BTEX) 156.00 1404.00
7A Organochlorine Pesticides 164.00 1476.00
7B Chlorinated Solvents 156.00 1404.00
7C1 Polycyclic Aromatic Hydrocarbons (PAHs) + Spike1 210.00 1890.00
7C1+ Polycyclic Aromatic Hydrocarbons (PAHs) + 252.00 2268.00
7C2 Spike 1 + Spike 2
7D Polycyclic Chlorinated Biphenyls (PCBs) 168.00 1512.00
8 Triazines, Urons and Acid Herbicides 165.00 1485.00
9 Organophosphorus Pesticides 165.00 1485.00
Distributions
required
Groups 6A-9A – Extra matrix waters are available at a cost of €20.00 per additional Matrix
NB Discount applies to participation in 5 or more rounds per year in groups 6A to 9
Qualitative Waters
Year Price
Group
€ Price
Includes
10%
discount
22 Qualitative Organics by GCMS 114.00 513.00
22A* Qualitative Organics by Purge & Trap 170.00 459.00
25 Qualitative Determination in Clean Water 94.00 423.00
Group
Waste Waters and Effluents Inorganic and
Nutrients
€ Price
Year Price
Includes
10%
discount
10 Nutrients 126.00 567.00
11 Non-Specific Determinands 131.00 589.50
12 Metals 168.00 756.00
Group
Waste Waters and Effluents Industrial
Waste Waters
€ Price
Year Price
Includes
10%
discount
17A pH, Settled COD, Suspended Solids 104.00 468.00
17B Total Phenol, Cyanide and Sulphate 106.00 477.00
17C Metals 140.00 630.00
17D Ammonia, Phosphate and Nitrogen 85.00 382.50
Distributions
required
Distributions
required
Distributions
required
3
Telephone: 0161 763 8777 International + 44 161 763 8777
Fax: 0161 763 8788 International + 44 161 763 8788
E-mail
aquacheck@aquacheck.net

Group Requirements Registration Form
Wastewaters Organic
Year Price
Group
€ Price
includes
10%
discount
18A Haloforms & Chlorinated Solvents 166.00 747.00
18B* Phenols 166.00 449.00
18C Benzene, Toluene and Xylenes (BTEX) 166.00 747.00
19A Organochlorine Pesticides 198.00 891.00
19B Chlorinated Solvents 188.00 846.00
19C1 Polycyclic Aromatic Hydrocarbons (PAHs) + Spike 1 218.00 981.00
19C1 + Polycyclic Aromatic Hydrocarbons (PAHs) + Spike 1 260.00 1170.00
19C2 + Spike 2
19D Polycyclic Chlorinated Biphenyls (PCBs) 202.00 909.00
20 Triazines, Urons and Acid Herbicides 202.00 909.00
20A Mineral Oil 134.00 603.00
21 Organophosphorus Pesticides 202.00 909.00
Distributions
required
Groups 18A – 21 – Extra matrix waters are available at a cost of €20.00 per additional Matrix
Water
Sewage Sludge Inorganic Determinands
Year Price
Group
€ Price
includes
10%
discount
13 Sewage Sludge Inorganics 128.00 576.00
Soils Inorganic Determinands
Year Price
Group
€ Price
includes
10%
discount
14 Agricultural Soil Inorganics (Soil only) 128.00 576.00
15 Contaminated Soil Inorganics (Soil only) 128.00 576.00
Distributions
required
Distributions
required
Group Soil/Sludge Organic Determinands
Year Price
€ Price
Includes
10%
discount
24A* PAHs in Soil (full US EPA list) 235.00 634.50
24B* PCBs in Soil 235.00 634.50
Ecotoxicology
Year Price
Group
€ Price
Includes
10%
discount
50 Ecotoxicology 126.00 567.00
Distributions
required
Distributions
required
4
Telephone: 0161 763 8777 International + 44 161 763 8777
Fax: 0161 763 8788 International + 44 161 763 8788
E-mail
aquacheck@aquacheck.net

Group Requirements Registration Form
These prices are EXCLUSIVE of transport costs and VAT.
ALL participants will be charged for transport at a rate depending on location. This
charge can be obtained from Aquacheck on request. VAT will be charged in addition,
where applicable.
Extra Matrix Waters cost €20.00 per additional Matrix Water
Additional spikes cost €35.00 per spike
Additional Spiked Matrix Waters cost €35.00 per additional water
Full additional groups – prices are available on request.
Reporting Options
(Please tick if required)
Is ADARS Software required
On which version of Windows do you operate
Are bound paper copy reports required
Charge for this is €100 per distribution
Are PDF Reports Required
Charge for this is €67 per distribution
For additional waters or spikes please use the space below to request. Please state
clearly the number of additional samples and from which groups and which distributions
E.g. 1x group 5 matrix water per distribution
5
Telephone: 0161 763 8777 International + 44 161 763 8777
Fax: 0161 763 8788 International + 44 161 763 8788
E-mail
aquacheck@aquacheck.net

Group Requirements Registration Form
Denotes groups distributed three times per year
Dist
Distribution
Date
Reporting
Deadline
Sample Type & Groups Included
300
16th January
2006
Clean Waters Waste Waters Soils & Sediment
Sludge
3rd February 6A 6B 6C 7A 7B 7C 7D 8 9 22 22A 25 24A 24B
301 30th January 17th February 1 2 2A 3 4 5 5A 5B 14 15
302 13th February 3rd March 1A 3A 6A 6B 6C 7A 7B 7C 7D 8 9 18A 18B 18C 19A 19B 19C 19D 20 20A 21 50
303 27th February 17th March 10 11 12 17A 17B 17C 17D 13
304 24th April 12th May 4G 5G 6A 6B 6C 7A 7B 7C 7D 8 9 22 22A 25
305 8th May 26th May 1 2 2A 3 4 5 5A 5B 14 15
306 22nd May 9th June 1A 3A 3B 6A 6C 7A 7B 7C 7D 8 9 18A 18B 18C 19A 19B 19C 19D 20 20A 21 50
307
5th June (6th
Eire)
23rd June 10 11 12 17A 17B 17C 17D 13
308 19th June 7th July 6A 6C 7A 7B 7C 7D 8 9 22 25 24A 24B
309 17th July 4th August 1 2 3 4 5 5B 14 15
310 31st July 18th August 1A 3A 3B 6A 6C 7A 7B 7C 7D 8 9 18A 18C 19A 19B 19C 19D 20 20A 21 50
311 14th August 1st September 10 11 12 17A 17B 17C 17D 13
312 29th August 15th September 6A 6C 7A 7B 7C 7D 8 9 22 25
313 11th September 29th September 1 2 2A 3 4 5 5A 5B 14 15
314 25th September 13th October 1A 3A 3B 6A 6C 7A 7B 7C 7D 8 9 18A 18B 18C 19A 19B 19C 19D 20 20A 21 50
315 9th October 27th October 10 11 12 17A 17B 17C 17D 13
316 23rd October 10th November 4G 5G 6A 6B 6C 7A 7B 7C 7D 8 9 22 22A 25 24A 24B
317 6th November 24th November 1 2 3 4 5 5B 14 15
318 20th November 8th December 1A 3A 3B 6A 6C 7A 7B 7C 7D 8 9 18A 18C 19A 19B 19C 19D 20 20A 21 50
319 4th December
320
15th January
2007
5th January
2007
10 11 12 17A 17B 17C 17D 13
2nd February 4G 5G 6A 6B 6C 7A 7B 7C 7D 8 9 22 22A 25 24A 24B
321 29th January 16th February 1 2 2A 3 4 5 5A 5B 14 15
322 12th February 2nd March 1A 3A 3B 6A 6C 7A 7B 7C 7D 8 9 18A 18B 18C 19A 19B 19C 19D 20 20A 21 50
323 26th February 16th March 10 11 12 17A 17B 17C 17D 13
Eco
tox
Telephone: 0161 763 8777 International + 44 161 763 8777
Fax: 0161 763 8788 International + 44 161 763 8788
E-mail
aquacheck@aquacheck.net
6