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LabCert Program Forms

Many frequently requested documents are available here for free downloading.

Application Form - Federal Employer ID (FEIN) Download file: 9400-568.pdf; Acrobat Reader; 48K   State Administrative Codes require that we obtain the federal employer identification number (FEIN) of all individuals and businesses subject to certification (i.e., licensing).
Application Form - Main Download file: Form 4800-002.pdf; Acrobat Reader; 120 K   This is the main application form required for all application types.
Application Form - Att. A1 (Aqueous) Download file: App1AQr4.pdf; Acrobat Reader; 132 K   Application Attachment which indicates technologies and analytes being applied for in the AQUEOUS matrix.
Application Form - Att. A2 (Solid) Download file: App2SOr4.pdf; Acrobat Reader; 120 K   Application Attachment which indicates technologies and analytes being applied for in the SOLID matrix.
Application Form - Att. A3 (Drinking Water) Download file: App3DWr3.pdf; Acrobat Reader; 61 K   Application Attachment which indicates "classes" and analyte-method combinations being applied for in the DRINKING WATER matrix.
Application Form - Att. B (Small WWTP Labs) Download file: AppWWTP.pdf; Acrobat Reader; 28 K   Application Attachment which indicates all of the technology - analyte combinations typically appplied for by WWTP labs (NOTE: this is for the Aqueous matrix only).
Chain-of-Custody Form Download file: COCform.xls; 2003 MS Excel spreadsheet; 28 K Download file: COCform.pdf; Acrobat Reader; 16 K Sample chain-of-custody form that meets all the requirements of revisions to ch. NR 149.
Corrective Action Log Form Download file: CorrActionLog.doc; 2003 MS Word document; 100 K Download file: CorrActionLog.pdf; Acrobat Reader; 16 K Sample corrective action log form that meets all the requirements of revisions to ch. NR 149.
Equipment Maintenance Log Form Download file: EquipMaintLog.doc; 2003 MS Word document; 52 K Download file: EquipMaintLog.pdf; Acrobat Reader; 16 K Sample equipment maintenance log form that meets all the requirements of revisions to ch. NR 149.
GEMS Comma Delimited Electronic Submittal Format Download file: GW_E-DataFormat.pdf; Acrobat Reader; 864 K    Provides required GEMS data elemnts and comma-delimited format.
LOD/LOQ Calculation and Validation Worksheet Download file: LODCalcs.xls; 2003 MS Excel spreadsheet; 48 K   Spreadsheet which can be used to determine LOD (MDL) according to EPA criteria (40 CFR Part 136 Appendix B).
AutoPipet Calibration Verification Worksheet Download file: PipetCalcs.xls; 2003 MS Excel spreadsheet; 56 K   Spreadsheet which can be used to document quarterly verification of autopipets.
Newly Received Chemicals Logbook Download file: ReagentLog.xls; 2003 MS Excel spreadsheet; 24 K   Spreadsheet which can be used to track chemicals upon recipt in the lab.
Reagent/Standard Preparation Logbook Download file: StdPrepLog.xls; 2003 MS Excel spreadsheet; 24 K   Spreadsheet which can be used to provide traceability for reagents or standards prepared in the lab using one or more chemical reagents.
Last Revised: Thursday June 30 2011