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Page 2 of 2 <br />• <br /> <br />Groundwater Monitoring Field Form <br />Calibration Informat ion <br /> <br /> <br />Parameter Date & <br />Time of <br />Calibration Temperature <br />Calibration <br />Standard Calibration <br />Standard <br />Value Instrument <br />Reading of <br />Standard <br />Adjusted <br />Reading <br />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 />Eh (mv) <br />DO (mg/L) <br />Turbidity <br />n.Lu) <br />Laboratory Information <br />Samples collected for laboratory analysis: yes <br />Constituents to be Analyzed <br />( ) <br />Inorganics inorganics Or anics Organics Other <br />Common ions ? TRPH ? TDS ? <br />Alkalinity ? BTEX ? TSS ? <br />Hardness ? TOX ? T. Coll. Bact. ? <br />Fluoride ? Oil & Grease ? Fecal Coli. Bact.? <br />Phosphorus ? Phos/Ni Pest. ? <br />Barium ? <br />Nitrate (as N) ? <br />Nitrite as N) ? <br />Nitro en (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 />Weather Conditions: <br />Version 1: gwraff.doc Western Water & Land, Inc. <br />8/12/2008