Sample Paid Calibration Docs

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Calibration
SAMPLE DOCUMENTS

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Report Print Date: 7/14/2017
Form R824.4 Rev. C
Quality Control Checklist
Logger Model: Example logger
Sales Order # 123456 Customer/Bill To: Example, Inc.
PO # 7891011 1st QC: EX Finalized: AM
Check Check Waterproof
Check Software: Y Cable Y Bag: N/A Check Calibration Report: Y Check PL: Y

Check Calibrated
Recycle=R / New

Temp Reference
Check Memory
Battery model

Check Battery

Check 4 hour

Programming
Check display
Check Sensor

Check Sensor
Check LED's
Check Push

run cycle
Button

Check
graph
Type

Size
Serial #
=N

1 1707141001 CR2032 N Y Y Y Y Y Y Y Y Y
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QC Page 1 Milton Truong, Lead, QC


Marathon Products, Inc. Report date: 7/14/2017
Calibration Report Form 824.7

Logger Model: Calibration points: Customer Name and Address:


Example logger -25.0° C 0.0° C 30.0° C 70.0° C Example, Inc.
Special Instructions: 1234 Example Street
Anytown, CA, 12345

As Found Condition: Recalibration As Left Condition: Calibrated


Calibration References (see Certificate of Traceability for full details): Environmental Chambers used for calibration:
Temperature:
Fluke Calibration Reference Thermometer, model 1524 with probe model 5606, accuracy: 1. TPS Tenney Jr., SN: 27688-04
+/- 0.05° C 2. TPS Tenney Jr., SN: 0809000031
3. Associated/BMA ZBD-108, SN: 7601
Humidity: 4. Despatch Industries, Inc., 924-1-1-D-0-120,
Thermoworks Thermohygrometer model 6102, accuracy +/- 3% RH SN: 139191
All chambers have and accuracy rating of +/- 2ºC
The logger, model: Example logger was calibrated by comparison against a calibrated immersion PRT reference at the following
temperature points: -25.0° C 0.0° C 30.0° C 70.0° C . The logger or probe are placed in an environmental chamber, which is
set to ramp to each of the temperature points specified and hold that temperature for 2 hours or more. The thermometer and the loggers have
their clocks synchronized prior to running this procedure, and set to log the data from the calibration session. At the end of the session, the data
from all loggers and the reference thermometer is downloaded and compared. These reading are then listed in the As Found section of the
calibration report. If the logger meets specifications, then the unit has passed the calibration and no further action is required. In this case, the
As Left readings will be identical to the As Found readings. If the logger measurements are outside of specifications, then an adjustment is
made to account for the difference, and the procuedure outlined above is repeated to verify that the unit meets specifications. The measurements
from this verfication procedure will appear in the As Left section of the calibration report. All measurement standards and instruments utilized
during the calibration of this product are traceable to the United States National Institute of Standards and Technology (NIST).
Calibration date: 14-Jul-2017
Calibration due: 14-Jul-2018
Sales Order Number: 123456 Environmental conditions:
PO Number: 7891011 Temperature: 22.0° C
Report Number: 1707140010 Humidity: 35.0% RH

Calibration Report Page 1 Approved By: Milton Truong, Lead, QC


Ship Date: 7/14/2017
Packing List
R824.8
Revision D

Sales Order # 123456 Ship to: Example, Inc.


PO # 7891011 1234 Example Street
Customer/Bill To: Example, Inc. Anytown, CA, 12345
Logger Total: 1

Serial/Tracking # Unit Type Destination (shipped to) PO# Ship Date:


1 1707141001 Example logger
2 1 USB to Mini-USB cable
3 1 21CFR Software
4 1 Validation Manual - 21CFR Software
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Packing List Page 1 For questions, or to order, please call 1-800-858-6872

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