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

# Therma Calibration Sheet Relative Humidity & Temperature Recorder

Tag # ____  
Equip. # ____  
Cal Range ____  
Manufacturer ____  
Inst. Acc. ____  
I/O Input _____  
Job # ____  
Mod # ____  
Ser. # ____

| AS FOUND DATA |  |  |  |  | AS LEFT DATA |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  | Percent | Standard Values | Chart Ind. | Indication | Error | Percent | Standard Values | Chart Ind. | 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 ____

DCR 03043