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SQL Slowness

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I am getting periodic SQL performance slowness, wait times.  I ran the following query as I noticed some "PageIOLatch_ex" in the activity monitor.  Does this mean I have a memory botttlenec or disk I/O problem?  What other counters should I use to narrorw this down and possible remedies?

wait_type waiting_tasks_count wait_time_ms
PAGEIOLATCH_DT 0 0
PAGEIOLATCH_EX 12572 52296
PAGEIOLATCH_KP 0 0
PAGEIOLATCH_NL 0 0
PAGEIOLATCH_SH 700021 5272781
PAGEIOLATCH_UP 988 5031

DBCC MEMORY STATUS

Memory Manager  KB
VM Reserved 1679640
VM Committed 1678576
AWE Allocated 0
Reserved Memory 1024
Reserved Memory In Use 0



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