Registration Form

Please use this form to enroll in the proficiency test (PT) program 2017/2018 of
the Institute for Interlaboratory Studies or use the electronic form at www.iisnl.com

Please return this form to:

Institute for Interlaboratory Studies
Attention Ing. R.J. Starink
P.O. Box 200, 3200 AE Spijkenisse, The Netherlands
Institute for email to: iisnl@sgs.com or fax to: +31 181 69 45 43
Interlaboratory Studies

CHEMICALS PROFICIENCY TESTS SCHEME (2017 - 2018)

Proficiency testing scheme Provisional Scope * ID
Acetone The sample is for tests from the ASTM D329 profile and other tests. iis17C10
AdBlue - 32% Urea solution The sample is for tests from the ISO22241-1 profile. iis18G04
Benzene The sample is for tests from the ASTM D2359 profile and other tests. iis18C03
Caustic Soda Alkalinity, Iron, Sodium Chlorate, Sodium Chloride and Sodium Sulphate (a iis18C06
high and low salt sample will be sent).
Ethanol (Bio-, Fuel- grade) Acidity, Appearance, Density, Electrical Conductivity, Inorganic Chloride, iis17C15,
Involatile material, Nitrogen, pHe, Phosphorus, Sulphate, Sulphur, Water, Purity iis18C10
and impurities (in accordance EN15721).
Ethanol (Food / Neutral grade) Density, Nonvolatile Matter, Permanganate Time Test, pHe, Strength (%V/V and iis17C16,
%M/M), Water, UV absorbance, Purity and impurities. iis18C11
Ethanol (denaturated) NEW! Denaturated with Gasoline, Methanol iis17C20,
iis18C12
Isopropanol Acidity, Inorganic Chloride, Appearance, Colour Pt/Co, Density, Distillation, iis17C18
Nonvolatile Matter, Water, Purity and impurities.
Methanol The main sample is for tests from the IMPCA profile and other tests. iis17C09,
A separate sample is available for UV absorbance (iis17C09UV & iis18C05UV) iis17C09UV,
iis18C05,
iis18C05UV
Methylmetacrylate (MMA) Acidity, Appearance, Colour Pt/Co, Density, Inhibitor, Water, Purity and iis18C02
impurities.
Mono Ethyleneglycol - Acidity, Aldehydes, Inorganic Chloride, Appearance, Ash, Colour Pt/Co, iis17C13,
polyester grade Distillation, Density, Purity, DEG, Iron, Water and UV transmittance. iis18C09
Mono Propyleneglycol Acidity, Inorganic Chloride, Appearance, Colour Pt/Co, Distillation, Density, iis17C14
Purity, DPG, Iron, Specific Gravity and Water.
Styrene The sample is for tests from the ASTM D2827 profile and other tests. iis17C11,
iis18C07
Toluene Acid Wash Color, Appearance, Colour Pt/Co, Density, Distillation, Toluene, iis18C04
Benzene and Nonaromatics, Refractive Index.
Vinylacetate monomer The sample is for tests from the ASTM D2190 profile and other tests. iis18C01
Xylenes - mixed Benzene, Toluene, Ethylbenzene, p-/o-/m-Xylene, Cumene and sum C9+arom. iis17C12
Xylene (Ortho- / Para-) The sample is for tests from the ASTM D5136 and D5471 profile and other tests. iis18C08

* To see the actual scopes of all previous PTs, you may be interested to download the available PT reports from the page
‘News and Reports’ on iis website www.iisnl.com

Please complete also the contact, delivery and invoice details on the extra page
 Registration Form
Please use this form to enroll in the proficiency test (PT) program 2017/2018 of
the Institute for Interlaboratory Studies or use the electronic form at www.iisnl.com

Please return this form to:

Institute for Interlaboratory Studies
Attention Ing. R.J. Starink
P.O. Box 200, 3200 AE Spijkenisse, The Netherlands
Institute for email to: iisnl@sgs.com or fax to: +31 181 69 45 43
Interlaboratory Studies

CHEMICALS PT STARTING DATES (2017 - 2018)

Tick to order ID of PT Sample dispatch date Participation costs, Costs Certificate Tick to order Price, sub total
participation excl. transport, etc (*) of Performance certificate
○ iis17C09 16 August 2017 € 310 € 15 ○
€ 400
○ iis17C09UV 16 August 2017 € 310 € 15 ○
○ iis17C10 16 August 2017 € 310 € 15 ○
○ iis17C11 20 September 2017 € 310 € 15 ○
○ iis17C12 20 September 2017 € 310 € 15 ○
○ iis17C13 4 October 2017 € 310 € 15 ○
○ iis17C14 4 October 2017 € 310 € 15 ○
○ iis17C15 8 November 2017 € 310 € 15 ○
○ iis17C16 8 November 2017 € 310 € 15 ○
○ iis17C18 8 November 2017 € 310 € 15 ○
○ iis17C20 8 November 2017 € 310 € 15 ○
○ iis18C01 24 January 2018 € 310 € 15 ○
○ iis18C02 24 January 2018 € 310 € 15 ○
○ iis18C03 14 February 2018 € 310 € 15 ○
○ iis18C04 14 February 2018 € 310 € 15 ○
○ iis18G04 16 May 2018 € 310 € 15 ○
○ iis18C05 15 August 2018 € 310 € 15 ○
€ 400
○ iis18C05UV 15 August 2018 € 310 € 15 ○
○ iis18C06 15 August 2018 € 310 € 15 ○
○ iis18C07 19 September 2018 € 310 € 15 ○
○ iis18C08 19 September 2018 € 310 € 15 ○
○ iis18C09 3 October 2018 € 310 € 15 ○
○ iis18C10 7 November 2018 € 310 € 15 ○
○ iis18C11 7 November 2018 € 310 € 15 ○
○ iis18C12 7 November 2018 € 310 € 15 ○
(*) Besides transport costs, other costs may be applicable, see ‘Overview of costs”. All prices are in Euro and excluding VAT.

The undersigned agrees with the corresponding fees (see overview of costs) and our General Terms and Conditions.
(documents available on request or via www.iisnl.com) Please give all information

Company name (+ labcode): Date:

City & Country:

Name of contact person: Name of authorized manager:

Please complete also the contact, delivery and invoice details on the extra page