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Surface-Water Monitoring Form <br />Calibration Information <br /> Date: Temperature <br />C <br />lib <br />i Calibration Instrument <br /> <br />Parameter <br />Time a <br />rat <br />on <br />Standard Standard <br />Value Reading of <br />Standard Adjusted <br />Reading Other <br />Information <br />pH (s. u.) <br />H (s. u.) <br />H (s. u.) <br />Conductivity <br />mhos/cm <br />(@ 25 °C) = <br />Conductivity <br />( mhos/cm) <br />(@ 25 °C) = <br />ORP (mv) <br />DO (pia) <br />DO (^io) <br />Turbidity <br />(n.t.u) <br />Laboratory Information <br />Samples collected for laboratory analysis: es / no Time Collected: <br />Constituents to be Analyzed <br />Inorganics inorganics Organics Organics Other <br />Common ions o TRPH ? TDS ? <br />Alkalinity ? BTEX ? TSS ? <br />Hardness ? TOX ? T. Coli. Bact. ? <br />Fluoride ? Oil & Grease ? Fecal Coli. Bact.? <br />Phosphorus ? Phos/Ni Pest. ? <br />Barium ? <br />Nitrate as N ? <br />Nitrite as N ? <br />Nitrogen total ? <br /> <br />Metals (total/dissolved): Sb, As, Be, Cd, Cr, Cr, Cu, Pb, Hg, N i, Se, A g, TI, Zn, <br />Ship Date/Time: Receiving Laborato : <br />Comments: <br />Field Notes: <br />Version 5: swmff.doc Western Water & Land, Inc <br />8/12/2008