Rice Lake CRS-Certificate Retrieval System User Manual
Page 27
Certificate Retrieval System User’s Guide - Appendix
23
Form: CRS-T/001
Page 1 of 1
Customer:
Address:
City, State Zip:
Certificate ID:
ISO Number:
Date
A - Z Materials
123 Main St.
Rockton, ILLINOIS 61072
12345004071511
ISO/IEC 17025 A2LA #2039.01
11/15/2007
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
GSE
465
200125
6 Months
Rice Lake
OTR
3Z4Q
11/15/2007
5/31/2008
QWI 5.5.1
004
III/L
In Service
Truck Scale
0 - 200000 lb x 20 lb
Base Dimensions
N/A
CLC
90000
Printer
Datamax M-4208
Remote Display
RLWS Laserlight 4"
EQUIPMENT CONDITIONS
Water in Pit [Dry]
SECTION TEST
Section Test 1
Reading
Error
Section 1:
Section 1 Middle:
Section 2:
Section 2 Middle:
Section 3:
Section 3 Middle:
Section 4:
30000 lb
30000 lb
30020 lb
30040 lb
30060 lb
30080 lb
30100 lb
0
0
20
40
60
80
100
Section Test 2
Reading
Error
Section 1:
Section 1 Middle:
Section 2:
Section 2 Middle:
Section 3:
Section 3 Middle:
Section 4:
30000 lb
30000 lb
30000 lb
30000 lb
30000 lb
30000 lb
30000 lb
0
0
0
0
0
0
0
In Tolerance?
Yes [No]
In Tolerance?
[Yes] No
INCREASING LOAD TEST
Preliminary Load Test
Section
Test Wt.
Reading
Error
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
5000 lb
10020 lb
15040 lb
20060 lb
15040 lb
20060 lb
25080 lb
30100 lb
5000 lb
10000 lb
15000 lb
20000 lb
15000 lb
20000 lb
25000 lb
30000 lb
0 lb
-20 lb
-40 lb
-60 lb
-40 lb
-60 lb
-80 lb
-100 lb
Final Load Test
Section
Test Wt.
Reading
Error
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
Section 1
5000 lb
10020 lb
15040 lb
20060 lb
15040 lb
20060 lb
25080 lb
30100 lb
5000 lb
10000 lb
15000 lb
20000 lb
15000 lb
20000 lb
25000 lb
30000 lb
0 lb
-20 lb
-40 lb
-60 lb
-40 lb
-60 lb
-80 lb
-100 lb
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
45000 lb
30000 lb
75000 lb
75000 lb
0 lb
TEST INFORMATION
Test Weight Classification:
F
NIST Traceability Certificate Number:
W04-55567
Standards Used:
1000 lb #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,
24, 25, 26, 27, 28, 29, 30
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
Comments / Notes:
Adjusted to correct errors.
Technician:
Joe Blow
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.