Application Fee Calculator by 4TTcxN2

VIEWS: 3 PAGES: 10

									Wisconsin DNR Lab Certification Program
Application Fee Calculator         07/31/12
Valid for applications through June 30, 2013

Part 3: Application Processing Fees                                                     # RVU
Choose ONE of the application types below
Initial Application Fee                                                                    6
Revised Application Fee                                                                    3                          Place an "x" in the
      Conversion: Certification to Registration Application Fee                            3                           appropriate cell.
      Conversion: Registration to Certification Application Fee                            3                             Choose one
                                                                                                                         option only.
Reciprocity Application Fee                                                                4
Transfer of Ownership Application Fee                                                      4
                                                                                       Subtotal:         0

Part 4: Matrix Fees                                                                # RVU
ONLY if you are adding this matrix for the first time. Matrix fees are a one-time (per year) fee.
   Matrix Fee, Aqueous                                                                     5                          Place an "x" in the
   Matrix Fee, Drinking Water                                                              5                           appropriate cell
                                                                                                                       only IF you are
   Matrix Fee, Solids                                                                      5
                                                                                                                        adding a NEW
                                                                                       Subtotal:         0                 matrix.

Part 5: Base Fees                                                                       # RVU
ONLY for labs new to the program
 Base Fee, Certification                                                                                            Choose ONE...only if
                                                                                          10
                                                                                                                    your lab is new to the
 Base Fee, Registration                                                                    5                        LabCert program OR
 Conversion Fee, Registration to Certification                                             5                         you are converting
                                                                                       Subtotal:         0             Registration to
NOTE: If you are certified for ANY parameter, then the Certification base fee applies
                                                                                                                        Certification.


Part 6: Technology Fees (Aqueous and Solid Matrices)
For each technology desired, use the pull down menu to indicate Certification or Registration then place an " X" in the yellow
highlighted column under each matrix that you wish to be accredited for that technology. Enter "0" if you already hold this
accreditation (but are applying for additional analyttes within the matrix/technology).

                                                                      Certification?                                                           --------------
                                                                                          AQUEOUS matrix                  SOLID matrix         Certified
                                                                             or
Analytical Technology                                                 Registration?     #RVU       ADD ("x") RVU       #RVU ADD ("x")    RVU   Registered
                                                                                                        Enter "0" if you already are
General Chemistry                                                                                      accredited for this technology
Electrometric Assays (ion-selective electrodes)                      --------------        1                          1
Gravimetric Assays, Residues (solids)                                --------------        1                          1
Gravimetric Assays, Oil and Grease (HEM)                             --------------        2                          2
Titrimetric or Potentiometric Titration Assays                       --------------        1                          1
Colorimetric or Nephelometric Spectrophotometry                      --------------        2                          2
Combustion or Oxidation                                              --------------        2                          2
Oxygen Demand assays (BOD, cBOD)                                     --------------        3
IC (Ion Chromatography)                                              --------------        3                          3
Waste Characteristics
Waste Characteristic Extractions                                     --------------                                   1
Waste Characterization Assays                                        --------------                                   1
Metals
FLAA (Flame Atomic Absorption Spectrometry)                          --------------        2                          2
CVAA (Cold Vapor Atomic Absorption) or                               --------------        3                          3
                                                                     --------------
Hydride AA (Gaseous Hydride Spectrometry)                                                  3                          3
CVAFS (Cold Vapor Atomic Fluorescence Spectrometry)                  --------------        3                          3
TDAA (Thermal Decomposition Atomic Absorption Spectrometry)          --------------        3                          3
GFAA (Graphite Furnace Atomic Absorption Spectrometry)               --------------        3                          3
Ultra-Low Level Metals Assays                                        --------------        3                          3
ICP (Inductively Coupled Plasma Emission Spectrometry)               --------------        4                          4
ICP/MS (Inductively Coupled Plasma-Mass Spectrometry)                --------------        5                          5
Organics
GC (Gas Chromatography)                                        --------------    3                                  3
GC/MS (Gas Chromatography-Mass Spectrometry)                   --------------    4                                  4
HPLC (High Performance Liquid Chromatography)                  --------------    3                                  3
LC/MS (Liquid Chromatography-Mass Spectrometry)                --------------    4                                  4
HR-GC/MS (High Resolution GC - Mass Spectrometry)              --------------    10                                10
Toxicity
WET (Whole Effluent Toxicity Assays)                           --------------     5
Other                                                          --------------   (call)                           (call)
                                                   Subtotal:                             0                                0

Part 7: Class Fees (Drinking Water Matrix)
                                                                                         Enter an "X" if this is a new "class" for your lab.
Analytical Class Fees for Drinking Water Matrix                 Drinking                  Enter "0" if you already are accredited for this
(Certification only)                                           Matrix RVU                              "class" of compounds.
Disinfection Byproducts                                                5
Primary Inorganic Contaminants (Non-Metals)                            3
Primary Inorganic Contaminants (Metals)                                6
Secondary Contaminants (Non-Metals)                                    2
Secondary Contaminants (Metals)                                        3
SOC – Dioxin                                                           8
SOC – Organochlorine Pesticides                                        3
SOC – N/P Pesticides                                                   3
SOC – Herbicides                                                       3
SOC – Miscellaneous                                                    4
Trihalomethanes (THM)                                                  2
Volatile Organic Compounds (VOC)                                       4
                                                                Subtotal                 0

Part 8: Total Amount Due
Calculate the total fee due for this application and enclose a check payable to the
Wisconsin Department of Natural Resources for the amount indicated:
1) Subtotal RVU from Part 3, Application Processing Fees                                                 0
2) Subtotal RVU from Part 4, Matrix Fees                                                                 0
3) Subtotal RVU from Part 5, Base Fees                                                                   0
4) Subtotal RVU from Part 6, Technology Fees (Aqueous & Solid Matrices)                                  0
5) Subtotal RVU from Part 7, Class Fees (Drinking Water Matrix)                                          0
6) Total RVU (sum lines 1 through 5 above)                                                               0
FY2013 Cost per RVU                                                     $56.50
Total Application Cost: (multiply the total RVUs on line 6 by the cost per RVU
                                                                                                    $0.00
                         on line 7). This is the total application fee.




nr149
Table 2: Application Fees                                                       FY2010
Item                                                                             RVU
Initial Application                                                               6
Revised Application                                                               3
Reciprocity Application                                                           4
Transfer of Ownership Application                                                 4


Table 3: Annual Fees for Certification and Registration
                                                      FY2010
    Item                                                RVU
B.     Base Fees                                                               Required only with INITITAL applications or RENE
       Base Fee, Certification                                                        10
       Base Fee, Registration                                                          5
                                                                                                      Subtotal Base fees
C.     Matrix Fees
       Matrix Fee, Aqueous                                                             5
       Matrix Fee, Drinking Water                                                      5
       Matrix Fee, Solids                                                              5

D.1    Analytical Technology Fees for Aqueous Matrix                                       (maximum RVU for this matrix is 22
  28   Electrometric Assays (ion-selective electrodes)                                 1
  29   Gravimetric Assays, Residues (solids)                                           1
  30   Gravimetric Assays, Oil and Grease (HEM)                                        2
  32   Titrimetric or Potentiometric Titration Assays                                  1
  26   Colorimetric or Nephelometric Spectrophotometry                                 2
  27   Combustion or Oxidation                                                         2
  25   Oxygen Demand assays (BOD, cBOD)                                                3
  31   Ion Chromatography                                                              3

       Flame Atomic Absorption Spectrophotometry                                       2
       Cold Vapor Atomic Absorption or Hydride Spectrometry                            3
       Cold Vapor Atomic Fluorescence Spectrometry                                     3
       Thermal Decomposition Atomic Absorption Spectrometry                            3
       Graphite Furnace Atomic Absorption Spectrometry                                 3
       Ultra-Low Level Metals Assays                                                   3
       Inductively Coupled Plasma Emission Spectrometry                                4
       Inductively Coupled Plasma-Mass Spectrometry                                    5

       Gas Chromatography                                                              3
       Gas Chromatography-Mass Spectrometry                                            4
       High Performance Liquid Chromatography                                          3
       Liquid Chromatography-Mass Spectrometry                                         4
       High Resolution Gas Chromatography-Mass Spectrometry                           10

       Whole Effluent Toxicity Assays (Aqueous Matrix only )                           5
       Other1............................. .................not to exceed 10
D.2     Analytical Technology Fees for Solid Matrix                                              (maximum RVU for this matrix is 22
  28    Electrometric Assays (ion-selective electrodes)                                      1
  29    Gravimetric Assays, Residues (solids)                                                1
  30    Gravimetric Assays, Oil and Grease (HEM)                                             2
  32    Titrimetric or Potentiometric Titration Assays                                       1
  26    Colorimetric or Nephelometric Spectrophotometry                                      2
  27    Combustion or Oxidation                                                              2
  25    Oxygen Demand assays (BOD, cBOD)                                                     3
  31    Ion Chromatography                                                                   3

     72 Waste Characteristic Extractions (Solid Matrix only )                                1
     73 Waste Characterization Assays (Solid Matrix only )                                   1

        Flame Atomic Absorption Spectrophotometry                                            2
        Cold Vapor Atomic Absorption or Hydride Spectrometry                                 3
        Cold Vapor Atomic Fluorescence Spectrometry                                          3
        Thermal Decomposition Atomic Absorption Spectrometry                                 3
        Graphite Furnace Atomic Absorption Spectrometry                                      3
        Ultra-Low Level Metals Assays                                                        3
        Inductively Coupled Plasma Emission Spectrometry                                     4
        Inductively Coupled Plasma-Mass Spectrometry                                         5

        Gas Chromatography                                                                   3
        Gas Chromatography-Mass Spectrometry                                                 4
        High Performance Liquid Chromatography                                               3
        Liquid Chromatography-Mass Spectrometry                                              4
        High Resolution Gas Chromatography-Mass Spectrometry                                10

        Other1............................. .................not to exceed 10

E.      Analytical Class Fees for Drinking Water Matrix                                          (maximum RVU for this matrix is 31
        Disinfection Byproducts                                                              5
        Primary Inorganic Contaminants (Non-Metals)                                          3
        Primary Inorganic Contaminants (Metals)                                              6
        Secondary Contaminants (Non-Metals)                                                  2
        Secondary Contaminants (Metals)                                                      3
        SOC – Dioxin                                                                         8
        SOC – Organochlorine Pesticides                                                      3
        SOC – N/P Pesticides                                                                 3
        SOC – Herbicides                                                                     3
        SOC – Miscellaneous                                                                  4
        Trihalomethanes (THM)                                                                2
        Volatile Organic Compounds (VOC)                                                     4

        1. Actual cost will be determined by the department considering the complexity of the technology .


              Cost per RVU for FY2010 (7/1/09 through 8/31/10):                   $            57.50
                                     FY2010
                                      Cost
                                    $ 345.00
                                    $ 172.50
                                    $ 230.00
                                    $ 230.00


                                     FY2010


                                   Cost
TITAL applications or RENEWAL fee calculations
                                               Check if your lab is CERTIFIED
                                 $ 575.00
                                 $ 287.50
 Subtotal Base fees

                                    $ 287.50
                                    $ 287.50
                                    $ 287.50

m RVU for this matrix is 22)
                                    $    57.50
                                    $    57.50
                                    $   115.00
                                    $    57.50
                                    $   115.00
                                    $   115.00
                                    $   172.50
                                    $   172.50

                                    $   115.00
                                    $   172.50
                                    $   172.50
                                    $   172.50
                                    $   172.50
                                    $   172.50
                                    $   230.00
                                    $   287.50

                                    $   172.50
                                    $   230.00
                                    $   172.50
                                    $   230.00
                                    $   575.00

                                    $ 287.50
                                    $ [call]
m RVU for this matrix is 22)
                               $    57.50
                               $    57.50
                               $   115.00
                               $    57.50
                               $   115.00
                               $   115.00
                               $   172.50
                               $   172.50

                               $ 57.50
                               $ 57.50

                               $   115.00
                               $   172.50
                               $   172.50
                               $   172.50
                               $   172.50
                               $   172.50
                               $   230.00
                               $   287.50

                               $   172.50
                               $   230.00
                               $   172.50
                               $   230.00
                               $   575.00

                               $ [call]

m RVU for this matrix is 31)
                               $   287.50
                               $   172.50
                               $   345.00
                               $   115.00
                               $   172.50
                               $   460.00
                               $   172.50
                               $   172.50
                               $   172.50
                               $   230.00
                               $   115.00
                               $   230.00
Primary Inorganic Contaminants (Non-Metals)                        Return to Form
      q   Cyanide
      q   Fluoride
      q   Nitrate
      q   Nitrate+ Nitrite
      q   Nitrite


Primary Inorganic Contaminants (Metals)                   Return to Form
      q    Antimony
      q    Arsenic
      q    Barium
      q    Beryllium
      q    Cadmium
      q    Chromium
      q    Copper
      q    Lead
      q    Mercury
      q    Nickel
      q    Selenium
      q    Thallium


Secondary Contaminants (Non-Metals)                     Return to Form
      q    Alkalinity - ASTM D1067-92, 02 B
      q    Chloride - SM online 4500-Cl- D-97
      q    Orthophosphate - USGS I-2601-90
      q    Sulfate - SM online 4110B-00
      q    TDS (Tot. Diss. Solids) SM online 2540C-97


Secondary Contaminants (Metals)                   Return to Form
      q   Aluminum
      q   Calcium
      q   Iron
      q   Manganese
      q   Silica
      q   Silver
      q   Sodium
      q   Zinc


SOC (Synthetic Organic Contaminants) - Dioxin
      q    2,3,7,8-TCDD (Dioxin)


SOC - Herbicides             Return to Form
      q    2,4-D
      q    Dalapon
      q    Dinoseb
      q   Pentachlorophenol
      q   Picloram
      q   Silvex (2.4.5-TP)


SOC - N/P Pesticides             Return to Form
      q   Alachlor
      q   Atrazine
      q   Simazine


SOC - Organochlorine Pesticides              Return to Form
      q   Chlordane
      q   Endrin
      q   Heptachlor
      q   Heptachlor epoxide
      q   Lindane (gamma-BHC)
      q   Methoxychlor
      q   Toxaphene


SOC - Miscellaneous               Return to Form
      q   Benzo(a)pyrene
      q   Carbofuran
      q   Di(2-ethylhexyl)adipate
      q   Di(2-ethylhexyl)phthalate
      q   Dibromochloropropane (DBCP)
      q   Diquat
      q   Endothall
      q   Ethylene Dibromide (EDB)
      q   Glyphosate
      q   Hexachlorobenzene
      q   Hexachlorocyclopentadiene
      q   Oxamyl (Vydate)
      q   PCBs (as Decachlorobiphenyl)


Disinfection Byproducts           Return to Form
      q   Bromate
      q   Chlorate
      q   Chlorine Dioxide
      q   Chlorite
      q   Haloacetic Acids (5)
      q   Ozone


Trihalomethanes (THM)             Return to Form
       Bromodichloromethane
       Bromoform
       Chloroform
       Dibromochloromethane


Volatile Organic Compounds (VOC)                   Return to Form
q    * REGULATED VOCs ANALYTE GROUP
    1,1,1-Trichloroethane
    1,1,2-Trichloroethane
    1,1-Dichloroethylene
    1,2-Dichloroethylene (cis)
    1,2-Dichloroethylene (trans)
    1,2,4-Trichlorobenzene
    1,2-Dichlorobenzene
    1,2-Dichloroethane
    1,2-Dichloropropane
    1,4-Dichlorobenzene
    Benzene
    Carbon Tetrachloride
    Chlorobenzene
    Dichloromethane
    Ethylbenzene
    Styrene
    Tetrachloroethylene
    Toluene
    Trichloroethylene
    Vinyl Chloride
    Xylenes (Total)

q * UNREGULATED VOCs ANALYTE GROUP
    1,1,1,2,-Tetrachloroethane
    1,1,2,2-Tetrachloroethane
    1,2,3-Trichlorobenzene
    1,2,3-Trichloropropane
    1,2,4-Trimethylbenzene
    1,3,5-Trimethylbenzene
    1,1-Dichloroethane
    1,1-Dichloropropene
    1,2-Dichlorobenzene
    1,3-Dichloropropane
    1,3-Dichloropropene (cis, trans)
    2,2-Dichloropropane
    Bromobenzene
    Chloroethane
    Chloromethane
    Dibromomethane
    Dichlorodifluoromethane
     Fluorotrichloromethane
    Hexachlorobutadiene
    Isopropylbenzene
    Naphthalene
    n-Butylbenzene
    n-Propylbenzene
    o-Chlorotoluene
    p-Chlorotoluene
    p-Isopropylbenzene
    sec-Butylbenzene
    tert-Butylbenzene
rn to Form

								
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