Rice Lake CRS-Certificate Retrieval System - Manual (Page 29)

Certificate Retrieval System User’s Guide - Appendix 25
8.2 Balance Service Report
Form: Balance Sevice Report 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 1231243124123092311
ISO/IEC 17025 A2LA #2039.01
11/23/2009
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 Ranges
Sartorius
QC7DCE-S
1231231231231
30 Days
N/A
N/A
N/A
11/23/2009
12/23/2009
Sp.1
1231243124123
I
In Service
lab
0 - 1000 g x 0.00001 g
1001 - 2000 g x 0.00002 g
2001 - 3000 g x 0.003 g
3001 - 4000 g x 0.005 g
Customer Scale ID
xxx Test
yes 17025 Compliant Test?
no
scale tolerance
yes Weight value
yes
EQUIPMENT CONDITIONS
[Clean] Dirty Wet Really Drafty Hot Broken Not Found
As Found
Reading Error
Section 1
Section 2
Section 3
Section 4
500.00000 g
500.00000 g
500.00000 g
500.00000 g
0.00000
0.00000
0.00000
0.00000
As Left
Reading Error
Section 1
Section 2
Section 3
Section 4
500.00000 g
500.00000 g
500.00000 g
500.00000 g
0.00000
0.00000
0.00000
0.00000
Position Position
1 2
4 3
1
2
3
4
SHIFT TEST Shift Test Result: [Pass] Fail Adjust Not Applicable Shift Weight: 500.00000 g
All tolerances calculated in conformance with Handbook 44 Table 6.
LOAD TEST
Preliminary Load Test
Test Wt. Tolerance Reading Error
500.00000 g
1000.00000 g
2000.00000 g
3000.00000 g
4000.00000 g
500 - 500 g
1000 - 1000 g
2000 - 2000 g
2999.991 - 3000.009
3999.985 - 4000.015
500.00000 g
1000.00000 g
2000.00000 g
3000.00300 g
4000.00500 g
0.00000 g
0.00000 g
0.00000 g
0.00300 g
0.00500 g
Final Load Test
Test Wt. Tolerance Reading Error
500.00000 g
1000.00000 g
2000.00000 g
3000.00000 g
4000.00000 g
500 - 500 g
1000 - 1000 g
2000 - 2000 g
2999.997 - 3000.003
3999.995 - 4000.005
500.00000 g
1000.00000 g
2000.00000 g
3000.00000 g
4000.00000 g
0.00000 g
0.00000 g
0.00000 g
0.00000 g
0.00000 g
In maintenance tolerance? [Yes] No In acceptance tolerance? [Yes] No
TEST INFORMATION
Test Weight Classification: F
Measurement Canada Traceability Certificate Number: 10333 Cal Date: 1/3/2008 Recal Date: 1/3/2008
Standards Used: GRAM KIT
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: gtg
Technician: Brandon Cox
Uncertainty of Measurement j
Clean Photoeye y
Clean Infeed Roller y
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%.