Rice Lake CRS-Certificate Retrieval System - Manual (Page 28)

24 Certificate Retrieval System User’s Guide
Form: CRS-T-C/001 Page 1 of 1
Customer:
Address:
City, State Zip: Certificate ID:
ISO Number:
Date 123 Chemical Co.
P.O. Box 123 123 First Ave.
Atlanta, GEORGIA 30042 6091211
ISO/IEC 17025 A2LA #2039.01
11/12/2009
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
N/A
Ind. Model
6
6 Years
N/A
N/A
N/A
11/12/2009
11/12/2015
Sp.1
6
III
In Service
6
0 - 100000 lb x 100 lb
Customer Scale ID
6 Test
N/A 17025 Compliant Test?
y scale tolerance
100
Weight value
lbs
EQUIPMENT CONDITIONS
[Clean] Dirty Wet Really Drafty Hot Broken Not Found
All tolerances calculated in conformance with Handbook 44 Table 6.
LOAD TEST
Section Test Wt. Reading Error Reading Error
0 lb
5000 lb
7000 lb
10000 lb
0 lb
5000 lb
7000 lb
10000 lb
0 lb
0 lb
0 lb
0 lb
0 lb
5000 lb
7000 lb
10000 lb
0 lb
0 lb
0 lb
0 lb
As-Found As Left
SECTION TEST
Reading Error Reading Error
Weight: Weight: 1000 lb
In Tolerance? Y In Tolerance? Y
In Tolerance? N In Tolerance? Y
CORNER/LOADCELL TEST
As Found
Reading Error
As Left
Reading Error
In Tolerance? Yes [No] In Tolerance? Yes [No]
TEST INFORMATION
Test Weight Classification: N/A
Measurement Canada Traceability Certificate Number: N/A
Standards Used: N/A
Test Location: [Onsite] Offsite
Overall Result: [Pass] Fail Adjust Unit Not Found Within Customers Tol
Was the scale within customers required accuracy? [Yes] No Calibration Results
Environmental Conditions: [Acceptable] Unacceptable
Comments / Notes: N/A
Technician: Alberto Ramirez
Devices were calibrated with the certified test weights. Adjustments made to restore and/or maintain the accuracy of the device conform to the
tolerances established by NIST or Manufacturers Specifications. Best measurement of uncertainty calculated using a coverage factor of K=2. This
provides confidence level of 95%.