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Surface-Water Monitoring Form <br />Calibration Information <br /> Date: Temperature <br />ation <br />lib <br />C Calibration <br />Standard InArument <br />Reading of <br />Adjusted <br />Other <br /> Time r <br />a <br />Standard Value Standard Reading Information <br />i:I (S. U.) <br />PH <br />H (s. to <br />II (s. n.) <br />Conductivity <br />µmhoslcm) ( 25 °c) = <br />Conductivity <br />( mhosicm) <br />ORP (rnv) ( 25 -o) <br />DO (%) -- <br />DO (%) -' <br />Turbidity <br />(n.tu) <br />Laboratory Information <br />Samples collected for laboratory analysis: yes / no Time Collected: <br />Constituents to be Analyzed <br />Inorganics <br />Common ions ? Inorganics Organics <br />TRPH ? Organics <br />_ Other <br />TDS ? <br />Alkalinity ? I3TEX ? <br />u J., S ° <br />Hardness ? .COX ? 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, Fig, N i, S?,-, Ag, Tl, Zn, <br />Ship Date/Time: Receiving Laboratory: <br />Comments: <br />T.;-I,l ri„tnc- <br />Version 5: swmff.doe Western Water & land, Inc <br />61412008