Laboratory Name: MN Lab ID: Method Detection Limit Study (MDL) Form Analyst Name (print): Analyst Signature: Instrument ID: Prep Method: Analytical Method: Target Analyte: Matrix: Reported Units: All values must be recorded in the same units. Standard prepared in reagent water should be at a concentration between 1 and 5 times the anticipated MDL. All replicates prepared for the MDL study must be used in the calculations. Rep. Result % Recovery Pass/Fail QC True Value* 1) Upper Limit % 2) Lower Limit % 3) Reporting Limit 4) Student’s T Value 5) Std Deviation 3.143 6) MDL** 7) MDL = (Standard Deviation of Replicate Analysis) * T T = 3.143 (Student’s T Value) for 7 replicates. More replicates will require a different student’s T value. *The true value must be no greater than 10 times the calculated MDL. **MDL must be less than the reporting level. Ideally the RL is 2 - 10X the MDL. PASS FAIL A copy of the raw data used to calculate the MDL must be attached to this form. MN Rules 4740.2100 Subp.7.A, CFR 136 Appendix B Rev 1.11 Created by MDH: revised 09Nov2006