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Dissolved Oxygen (DO)
Reference Method: (include veer for SM methods)
Temperature
Adjusted Air
Calibration
Facility/Sample
DO reading
Sample
'Sample
Comments/Data Qualifiers
°C
Calibration
Time
Location
mg/L
Collection Time
Analysis Time
A
Time
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ABased on appropriate altitude adjustment
♦ When performing analysis at multiple sampling locations, re -calibrations) should be performed every four hours.
• If sample is measured directly In the stream and/or onsite, only time analyzed would be recorded.
Temperature Sensor Annual Check Date:
DO Instrument ID•
Temperature
time is the some. (Ideally the sample should be analyzed
Annual Verification Date
Temperature Measuring Device ID:
Settleable Solids
Reference Method: (include year for SM methods)
Facility/location
Sample
Sample
Sample volume
Start
45 min. End time
Result
Comments(Data Qualifiers
Collection
Analysis
analyzed in mis
time
stirtime
mUL
Time
Time
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Note: Samples must be gently agitated after 45 minutes and allowed to settle for an additional 15 min.
Field Personnel Notes/Equipment Maintenance
10/02/2013

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Certification it
Date: Facility Name:
Analyst. Permit 0:
*pH buffer checks are to be within t 0.1 pH units of the standards true value.
4 buffer LoWdentiner. 7 buffer LotNRdentiner: 10 buffer LoWfidentifier:
Facility/Sample location Sample Collection
Time*
Sample Analysis
Time♦
pH Result
► 1 Buffer Cheek value
Comments/Data Qualifiers
TRC Result
µg/L or mg/L
Comtnents/Data Qualifiers
Comments(Data Qualifiers
*If sample is measured directly In the stream and/or on site, one time maybe recorded for collection and nun.lysls with the notation that they are messured.In situ or at'
the immediately at the sample site.
► Calibration drift check is required when performing analyses at multiple sampling locations. (Use Buffer 7.0) Should be within t 0,1 units of the,buffer's true value)
*Alf pH results in pH units,(i.e., sx.). Report all data values to the.nearest 0.1 pH unit.
Annual Temperature Sensor Check Date:.
pHlnstrument ID:
Total Residual Chlorine (TRC):
Refrrpnre Methnd! (include veer fnr SM methndsl
Facility/Sample location
Daily Check Standard
Obtained Value, ug/l: or
mg/L
Time check
Standard
Analyzed
Sample
Collection
-Time
*Sample
Analysis Time
TRC Result
µg/L or mg/L
Comtnents/Data Qualifiers
Comments(Data Qualifiers
* If sample is measured directly in the stream and/or onsite, only time analyzed would be recorded,
TRC .check standard true value (acceptance range mg/L) (Should recover within f10% of the check standard's true value.)
Check/Gel Standard LoWdendfler. DPD (powder) lot#/identlfier.
DPD (liquid) LoWdentifier: Buffer, Solution'(llquid) LotNtidentifter:
Annual Calibration Verification Curve Date:
TRC Instrument ID:
ReagentBlook Value: (Analyze and document a reagent blank when standards are prepared in the lab:)
Conductivity
Reference Method: (include vear for SM methodsl
Cal. Time
Calibration
Sid
Verification
Std
Optional
Std
0- Drift Check std
Result
pmhoVcrn
'Comments
Comments(Data Qualifiers
10- Indicates a recommended drift check to be analyzed when multiple sampling locations are measured. Note: all units, are td pmhos1cm.
Calibration Standard.LotWidentiner: Verification Standard, LotWidentifier:
Facility
Temperature"C
Cell Constant *
Sample
Collection
Time
*Sample
Analysis
Time
Result
pmhoVcrn
Adjusted
pmhos/cm*
Comments(Data Qualifiers
♦Ifsompleis measured directly'in the stream and/or on site, only time analyzed ,would be recorded.
*Enter NA (not appliicable) if outomatle temperature :compensation and cell constant are,used.
ATC annual check date:.
Couductivily. lastrument,IM