6 016 1 temperature transmitter calibration sheet

T

HERMA

1601 Las Plumas Avenue San Jose, CA 95133-1613 Phone:408-347-3400 Fax:408-347-3405

Therma Calibration Sheet Temperature Transmitter

Tag # ____

Equip. # ____

Cal Range ____

Manufacturer ____

I/O Input ____

Inst. Acc. ____

Mod # ____

Job # ____

Ser. # ____

AS FOUND DATA AS LEFT DATA
Percent Standard Values Output Indication Error Percent Standard Values Output Indication Error
1
2
3
4
5
Test Standard Data
Manufacturer Mod # S/N Cert.# Due Date

Comments:

In Tolerance: Calibration Due:

Calibration Technician ____ # ____

Date ____

This is sheet # ____ of ____


Acceptance Signature ____

Date ____