CPAL-F-002 Revision 2.

Chemical Analyses Section

Chemical Preparation Laboratory

Pipette Verification Form

Acceptable E [%] ±5 (50 μL), ±5(250 μL)

Acceptable P [%] <5 (50 μL), <5 (250 μL)

Distilled Mass of Volume of

Density of Mean
Pipette water Dispensed Dispensed Performed
Date Time Pipette ID water volume E [%] P [%]
Reading [µL] Temperature Water Water by
[g/ml] [µL]
[°C] [mg] [µL]
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.