Rice Lake CRS-Certificate Retrieval System - Manual (Page 26)

22 Certificate Retrieval System User’s Guide
8.0 Appendix
8.1 Certificate of Calibration Samples
Form: CRS-T/001 Page 1 of 1
Customer:
Address:
City, State Zip: Certificate ID:
ISO Number:
Date Leanne Co
8400 E Riverside
Belvidere, ILLINOIS 61111 121212123L070711
ISO/IEC 17025 A2LA #2039.01
11/7/2007
Indicator Mfg.
Indicator Model
Indicator Serial
Test Interval
Base Mfg.
Base Model
Base Serial
Cal Date
Due Date
Procedure
Scale ID
Scale Class
Scale Status
Scale Location
Scale Range
Robinair
40153
1231345kj;
90 Days
N/A
N/A
N/A
11/7/2007
2/5/2008
QWI 5.5.1
123L
III/L
In Service
front
0 - 5000 g x 2 g
Base Dimensions RF RADIO
N/A Class/Type
N/A
EQUIPMENT CONDITIONS
Water in Pit [Dry]
SECTION TEST
Section Test 1
Reading Error
Section Test 2
Reading Error
In Tolerance? [Yes] No In Tolerance? [Yes] No
INCREASING LOAD TEST
Preliminary Load Test
Section Test Wt. Reading Error
Final Load Test
Section Test Wt. Reading Error
In maintenance tolerance? [Yes] No In acceptance tolerance? [Yes] No
All tolerances calculated in conformance with Handbook 44 Table 6.
STRAIN TEST
Truck Weight Test Weight Total Strain Weight Indicated Weight Error
0 lb 0 lb 0 lb 0 lb 0 lb
TEST INFORMATION
Test Weight Classification: F
NIST Traceability Certificate Number: W04-55567
Standards Used: 1000 lb #2, 1000 lb #3, 1000 lb #4, 1000 lb #5, 1000 lb #6, 1000 lb #7, 1000 lb
#8, 1000 lb #1
Test Location: [Onsite] Offsite
Overall Result: [Pass] Fail Adjust Scale Not Found
Was the scale within customers required accuracy? [Yes] No
Environmental Conditions: [Acceptable] Unacceptable
Temperature: 45°F
Humidity: 70%
Pressure: 32
Comments / Notes: N/A
Technician: Alberto Ramirez
Inspections and adjustments have been performed in accordance to Allometrics work instruction 5-4WI03 in compliance with ISO/IEC 17025,
ANSI/NCSL Z540-1 and the principles of ISO 9001-2000. Reported measurements are within accredited scope of Allometrics Inc. This Calibration
Report may not be reproduced, except in full, without written consent from Allometrics Inc.