## 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 ____

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