Title Page

  • Site conducted

  • What Quarter of the year?

  • Conducted on

  • Prepared by

  • Workstation/Mat/Monitor Inspected

  • Workstation, Mat, or Monitor
  • Enter the workstation, mat or monitor ID

  • Enter the Temperature (F) at the time of the test

  • Enter the Relative Humidity (RH) at the time of the test

  • Enter the Mantissa value from the meter screen (ex 4.1) after the meter completes the cycle (LED will be at 10V or 100V)

  • Enter the number for the 'Exponent' LED illuminated (ex 8) after the meter completes the cycle (LED will be at 10V or 100V)

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