BQASP Data Submission Form Pesticides

NCEH DLS Laboratory Quality Assurance Programs

Att 3i-I. BQASP DataReturn_Pest.xlsx

OMB: 0920-1389

Document [xlsx]
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Overview

Method Report
Results


Sheet 1: Method Report


Biomonitoring Quality Assurance Support Program





Analytical Method Report





UNIVERSAL PESTICIDES












Laboratory Information




1 State Report: Select State



2 Results for Method: Select Method


















Sample Preparation Information:




3 Does your method use automation: Yes or No



4 Does your sample preparation method include: Select SPE



5 Solid phase extraction platform: N/A




Additional information on sample prep procedure: Type description here



6 What is the method sample volume size:




7 Name of enzyme:





Enzyme Vendor





Enzyme Concentration
(please include units)



Amount





How long do you incubate the samples





Temperature during incubations
Degrees Celsius

















HPLC Configuration:




8 Instrument manufacturer Select Type Other Here


9 What is the flow rate:




10 What is the method run time:




11 What is the sample injection volume:




12 Column name and Manufacturer




13 Column dimensions




14 Elution Type: Select



15 Mobile Phase A Composition
Describe composition for Mobile Phase A


16 Mobile Phase B Composition
Describe composition for Mobile Phase B










Mass Spectrometer Configuration




17 Have you optimized the MS Parameters for your method? (Analytes, Precursor and Product Ions, Collision Energy) Yes or No



18 What is the ionization mode: Select Mode










20 Please complete the table for each analytes LOD, precursor and product ion transitions: Analyte LOD Calibration Range Precursor Ion (mass) Product Ion (mass)

Example: MCPP 0.4 ng/ml 0.035 - 350 ng/ml 251 103


13C4-MCPP

225 103







































































Analytical and Internal Standards





Please complete the table for metabolite standards: Analytical and Internal Standard Vendor Purity



Phthalate Metabolites Cambridge Isotope Laboratory






























25 How do you prepare your standards? Select



27 How many points are in the calibration curve?




28 Is the calibration curve weighted?
weighted curve: No weighting, 1/X, 1/X^2,Other ?


29 What integration software do you use?












Additional Method Questions




30 Which proficiency testing programs do you participate in? Select Please type other programs here


31 what is the average number of samples analyzed per month for this method?




32 Have you checked the accuracy of the method using NIST SRMs?




33 What volume of sample is required for BQASP Analysis?






















Please provide a screenshot of your results chromatography:





































Sheet 2: Results


UNIVERSAL PESTICIDES





PT Event ID:

Participant:



Analyst:



Reviewer:



Units of Result:








Sample ID Analyte Reported Value

20190F001UPSU 3,5,6-trichloro-2-pyridinol


20190F001UPSU 3-phenoxybenzoic acid


20190F001UPSU 2-Isopropyl-4-methyl-6-hydroxypyrimidine


20190F001UPSU 3-ph2-diethylamino-6-methyl pyrimidin-4-olenoxybenzoic acid


20190F001UPSU Malathion dicarboxylic acid


20190F001UPSU Trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1- carboxylic acid


20190F001UPSU Cis-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1- carboxylic acid


20190F001UPSU 4-fluoro-3-phenoxy-benzoic acid


20190F001UPSU Para-nitrophenol


20190F001UPSU 2,4-dichlorophenoxyacetic acid












Sample ID Analyte Reported Value

20190F002UPSU 3,5,6-trichloro-2-pyridinol


20190F002UPSU 3-phenoxybenzoic acid


20190F002UPSU 2-Isopropyl-4-methyl-6-hydroxypyrimidine


20190F002UPSU 3-ph2-diethylamino-6-methyl pyrimidin-4-olenoxybenzoic acid


20190F002UPSU Malathion dicarboxylic acid


20190F002UPSU Trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1- carboxylic acid


20190F002UPSU Cis-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1- carboxylic acid


20190F002UPSU 4-fluoro-3-phenoxy-benzoic acid


20190F002UPSU Para-nitrophenol


20190F002UPSU 2,4-dichlorophenoxyacetic acid






















By submitting this form, we attest that the results reported were produced in this laboratory from the analysis of proficiency testing samples that were introduced into the routine workflow of the laboratory and analyzed using protocols and procedures with the same frequency routinely applied to patient specimens.

We further attest that the laboratory did not discuss or engage in any communications with anyone outside of our laboratory regarding the proficiency test or the results obtained.


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