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SCP SCIENCE 197
                                                                        Standards Reagents and CRMs

                                                               Standards Request Form
                                                 Ion Chromatography Standards

Custom Standards are a great way to save time and money related to preparation of various calibration solutions and QC checks.
SCP SCIENCE prepares Custom Standards in complicance with ISO Guide 34 and ISO 17025, and typically ships them with 72 hours from time of
order confirmation.

                            Contact Information

Name:

Company: 										Title:

Mailing Address:

City:				Province/State:					PC/Zip:

Telephone:					                            Fax:

E-Mail:

                            Please indicate the element, volume and concentration required.

         Anion Custom       Concentration       Cation Custom                                Concentration
   Multi-Ion Standard                      Multi-Ion Standard

                 Acetate                            Ammonium
                Bromate                     Ammonia-Nitrogen
                Bromide
                Chlorate                                 Barium
                Chloride                                Calcium
                Fluoride                                 Lithium
                Formate                             Magnesium
                                                    Manganese
                  Nitrate
       Nitrate-Nitrogen                                   Nickel
                                                      Potassium
                   Nitrite
        Nitrite-Nitrogen                                 Sodium
                                                      Strontium
                  Oxlate
             Perchlorate                                    Zinc
              Phosphate
Phosphate-Phosphorus                       Special Requirements:

                  Sulfate
          Sulfate-Sulfur

                  Fax this form to (800) 253-5549/(514) 457-4499 & we will have a quotation prepared within 24 hours,
                                  or visit www.scpscience.com to fill out your custom blend request online.
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