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Paec 2 of 3 <br />Groundwater Monitoring Field Form <br />Instrument Calibration <br />Information <br />Samples collected for laboratory analysis es no <br />DateG- -13 <br />Temperature <br />Calibration <br />Instrument <br />Inorganics <br />Inorganics <br />Time of <br />Calibration <br />Standard <br />Reading of <br />Adjusted <br />Other <br />Parameter <br />Calibration <br />Standard <br />Value <br />Standard <br />Reading <br />Information <br />H( -.u.) <br />TSS ❑ <br />Q_� °c <br />Lt. ao <br />3. -,G <br />•00 <br />T. Coli. Bact. ❑ <br />Chloride ❑ <br />TOC ❑ <br />Fecal Coli. Bact.❑ <br />H(s u) <br />��: '�LCi <br />1�.�� a` <br />to Ov <br />`i-&9 <br />I�•oo <br />Phosphorus ❑ <br />Sp.Conductivity <br />TIC ❑ <br />Sulfate a <br />(@ 2� °c) <br />( S/cm. mS /cm) <br />DRO ❑ <br />.� <br />Nitrate as ❑ <br />Sp.Conductivity <br />Nitrite as ❑ <br />(a- 25 °c) = <br />( s/cm' MS/CM) <br />Nitrogen (total) ❑ <br />DO (mg/L., %) <br />`7 = So <br />1 `I• �rLv 'C <br />plc•is °/6 <br />7G.1s` o <br />-- <br />LC. S <br />DO (mg/L, %) <br />ORP (mv) <br />? Lit <br />C�00 - © <br />Turbidit (n.t.u) <br />M =f1 �i\ w M �Mi <br />Laboratory Information <br />Samples collected for laboratory analysis es no <br />Constituents <br />to be Analyzed (� <br />Inorganics <br />Inorganics <br />Organics <br />Organics <br />Other <br />Common ions ❑ <br />TPH ❑ <br />VOCs ❑ <br />TDS ❑ <br />Alkalinity ❑ <br />BTEX ❑ <br />SVOCS ❑ <br />TSS ❑ <br />Hardness ❑ <br />Oil & Grease ❑ <br />T. Coli. Bact. ❑ <br />Chloride ❑ <br />TOC ❑ <br />Fecal Coli. Bact.❑ <br />Fluoride ❑ <br />DOC ❑ <br />Phos/Ni Pest. ❑ <br />Phosphorus ❑ <br />TIC ❑ <br />Sulfate a <br />DRO ❑ <br />Nitrate as ❑ <br />GRO ❑ <br />Nitrite as ❑ <br />Methane ❑ <br />Nitrogen (total) ❑ <br />Metals (total /dissolved): Sb, Al, <br />Si, Sr, Ag, Na, TI, U, Va, Zn, <br />As, Ba, Be, B, Cd, Ca, Cr, Cu, Fe, Pb, Li, Mg, Mn, Hg, Mo, Ni, K, Se, <br />Sh1 Date /Time: <br />Receiving Laboratory: ACZ Laboratories <br />Comments: <br />LC. S <br />T _1 AT_ ___ <br />X.1G1 1 V<.1 <br />1�1��ter �•JGs Ct�4c <br />Weather: SKY- clear scattere broken /cloudy/ overcast. RREC.P on light /mod. /heavy /snow /rain <br />breeze / gus I noderate / strong / est. wind speed /direction: / <br />TE \4P- cold / cool / mild warm hot / est. air temperature: .A ° F Comments: <br />Version 3: g, "Imff.doc Western Water & Land, Inc. <br />4/12/2012 <br />