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Mountain Metrology and Repair, Inc.

 

Certificate of Calibration

SAMPLE

                 

Certificate #: 123456                                                                                 Date: 01/15/2003

Customer Number

100000

Contact Name:

FRANK D. LYTLE

Company Name:

Mountain Metrology & Repair, Inc

Phone Number:

(719)442-0004

Location:

MMR

Purchase Order:

 N/A

Work Requested:

CAL

DATA:   N/A

Physical Condition:

OK

         

 

Mfg   :

MARC

Mod:

6960

Nomenclature:

POWER METER

Serial #:

1418

ID #  

MMRE0024

MMR#

MMRE0024

 

Calibration

 

Calibration Cycle:

12

Calibration Tech:

010

Condition Received:

IN TOLERANCE

Condition Returned:

IN TOLERANCE

Temperature:   20.00

Degrees C

Humidity:    45

%RH

Calibration Date:

01/15/2001

Calibration Due Date:

01/15/2002

Calibration Procedure: 

MFG’S

Rev:      N/A

 

Notes: 

 

Standards Used:

 

Asset Number

Mfg

Model

Due Date

NIST Trace#

2204

HPC

432A

04/14/02

531699

2198

HPC

8478B

07/24/02

531699

2052

FLUKE

8842A

12/21/02

531699

2498

HPC

83630A,Opt 008

08/10/02

531699

 

This Calibration was performed using standards traceable to the National Institute of Standards and

Technology (N.I.S.T.) or an acceptable physical standard and is compliant with ANSI/NCSL-Z540-1

and ISO 17025.  Unless otherwise noted, all instruments are returned in tolerance and meet or exceed

manufactures’ specification, with calibration to an uncertainty ratio of 4:1 of better

 

Repair

 

Problem Description :

 

Corrective Action:

 

 

          Parts Replaced             

         

Part Number

Description

Part Number

Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certified By: _________________________________