Chem 2223 Analysis Report Form

If printing of the online confirmation report fails, print and complete this form and submit it with your laboratory notebook to your laboratory TA.

Your Name_________________________________________

Date ______________________________________________

Analyte (KHP, Na2CO3, CaCO3, Fe) ___________________

Sample Number ____________

Reported Value ____________

Report Type (check one)

• ____First Report.
• ____Recalculation. Select this option to report a recalculated value. Recalculations will be accepted in the following circumstances
  • There were errors in the formula or data you used for calculating the results of your individual determinations.
  • You failed to apply appropriate statistical methods for rejection of potential outliers (eg, the Q test), and you are reporting a new average based on the statistical test. Except for this case, reporting a new value based on rejection or inclusion of individual results generally will not be accepted.
• ____Repeat New Sample. Select this option to repeat the results of an analysis of a new sample.
• ____Other. Explain below.

Reason for report (required it "other" is checked).