Effective Date: 03/09/2022 Balance Calibration Check Form CM-BAL-CAL-CHECK-1.

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Revision Date: 03/09/2022

STATE OF FLORIDA
DEPARTMENT OF
Laboratory
ENVIRONMENTAL PROTECTION
Balance Calibration and Maintenance

Balance: S/N: DEP Log #:

Analyst’s Initials: Date (MM/DD/YY): Analyst’s Initials: Date (MM/DD/YY):

Standard Weight Measured Value Pass/Fail Standard Weight Measured Value Pass/Fail
(g) (g) ( / F) (g) (g) ( / F)

*Comments: *Comments:

Analyst’s Initials: Date (MM/DD/YY): Analyst’s Initials: Date (MM/DD/YY):

Standard Weight Measured Value Pass/Fail Standard Weight Measured Value Pass/Fail

(g) (g) ( / F) (g) (g) ( / F)

*Comments: *Comments:

Analyst’s Initials: Date (MM/DD/YY): Analyst’s Initials: Date (MM/DD/YY):

Standard Weight Measured Value Pass/Fail Standard Weight Measured Value Pass/Fail
(g) (g) ( / F) (g) (g) ( / F)

*Comments: *Comments:

* Comments can be used to document balance maintenance and weight set used.

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