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1. MEASURING & TEST EQUIPMENT CALIBRATED

I.D. NO. :

EQUIPMENT NAME : TYPE :

RANGE :

PROCEDURE NO. / METHOD :

FREQUENCY :

SERIAL NO. :

CALIBRATED DATE :

DUE DATE :

2. CALIBRATION STANDARD USED

STANDARD NAMEI.D. NUMBERTYPE / CAPACITYCALIBRATED DATEDUE DATELAB.

3. ENVIRONMENT CONDITION

AMBIENT TEMPERATURE :

4. CALIBRATION RESULTS

AS FOUND CONDITION : AS CALIBRATED CONDITION :

RESULT : SATISFACTORY UNSATISFACTORY / ISSUED NCR NO.

Calibrated by : Approved by : Laboratory Engineer QA/QC Engineer