B08_Appendix_E_-_ASR.docx
DOCX document 37 KB Posted
- Attached to
- Harmful Algal Blooms (HABs) Analytical Services
- Solicitation number
- 140G0225R0001
About this file
This document is an Analytical Services Request (ASR) form for a U.S. Geological Survey (USGS) contract. The ASR is used to request analytical services from a contract laboratory for a USGS project. The form includes fields for sample identification, site/sample/project information, analytical work requests, and chain of custody details.
The related federal contract opportunity is for Harmful Algal Blooms (HABs) Analytical Services, solicitation number 140G0225R0001, issued by the Department of the Interior U.S. Geological Survey Office of Acquisitions and Grants. This is a solicitation for analytical services to support USGS projects related to harmful algal blooms. The ASR form appears to be a supporting document used under this contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140G0225R0001_Amd_0001.pdf | ||
| B08_Appendix_C_-_Daily_Receipt_File_Example.xlsx | XLSX spreadsheet | |
| Sol_140G0225R0001.pdf | ||
| B08_Appendix_B_-_Example_of_EDD.txt | TXT text file | |
| B08_Appendix_A_-_Pricing_Schedule.xlsx | XLSX spreadsheet | |
| B08_Appendix_D_-_Methods_with_Reporting_Limits.xlsx | XLSX spreadsheet |
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Text version
Page ___ of ___
U.S. GEOLOGICAL SURVEY – ANALYTICAL SERVICES REQUEST (ASR)
For USGS Contract with Read Carefully and fill out accurately – Changes require a revised (highlighted the corrected fields, initial and date) copy sent immediately of updated ASR to CoLabs & LASD Admin
SAMPLE IDENTIFICATION
CONTRACT LAB USE ONLY
SUB-CONTRACT LAB USE ONLY
W
LABORATORY ID
User Code
Project Account (Check if Late sample ☐)
LABORATORY ID
| 2 |
| 0 |
STATION ID*
Begin Date (YYYYMMDD)*
Begin Time*
Medium code*
Sample Type
| 2 |
| 0 |
USGS Project Contact Name
End Date (YYYYMMDD)
End Time
USGS Project Contact Email
SITE / SAMPLE / PROJECT INFORMATION (Optional)
State
County
Geologic Unit Code
Analysis Status
Analysis Source
Hydrologic Condition
Hydrologic Event
Note: State, County, and Geologic Unit Code data will not be entered in by Contract Laboratory
COR:
Admin:
CoLabHelp@USGS.gov nwql_billing_team_help@usgs.gov
| Lab Name |
| Contact Email |
| Contract Lab Project Name USGS Project Name |
Station Name or Field ID:
Sample conditions or hazards:
ANALYTICAL WORK REQUESTS: SCHEDULES AND CONTRACT ITEM NUMBERS (CINs) Note: Contract Item Numbers (CINs) are used as Lab Codes for this specific ASR.
Containers/Preservatives
| CIN |
| Remarks: list analytical method no., specific analytes, special instructions, and other comments |
| Unpreserved water |
| Trizma / 2-Chloroacetamide / Ascorbic acid / EDTA |
| Ascorbic Acid / NaHSO3 |
| Na2S2O3 |
| Sodium omadine |
| Filter |
| Other: |
CHAIN OF CUSTODY RECORD
ASR: Relinquished by:
Date:
Time:
ASR: Received by:
Date:
Time:
USGS HABS Contract ASR, Rev 1.0, June 2024
File details come from the government source that posted it. Updated .