Calibration Report

Date: December 16, 1981 Certificate: 811216-12345

P.O. Number: W/O PO
Customer: ABC Crane Co.
Location: 123 4th St.
Everytown, USA

Device Calibrated
Device Make: Dillon Calibration Date: December 16, 1981
Device Model: AP 10" Re-calibration Date: December 16, 1982
Decription: 20KLb Mechanical Dynamometer Test Interval: 12 Months
Accuracy +/- 0.5%
Serial#: 12345
Customer ID#: N/A
Procedure: GTM/PRC-SER-400 Rev. 03-01-14 R02

Up Scale As Found As Left Error

4000 3980 3980 -20
8000 7960 7960 -40
12000 11960 11960 -40
16000 15940 15940 -60
20000 19940 19940 -60

Results outside of the specified guard band limits cannot be identified as IN-tolerance (Pass) or OUT-of-Tolerance (Fail) with a 95%
confidence due to the uncertainty of calibration. Results not meeting this criteria are identified with an asterisk (*) next to the measured value.

Manufacturer Description Model Serial No. I.D. Cal Due:

Weigh-Tronix/HBN Universal Testing Mach. WI-130/S35-20K-20555 015488T/1388203T EQ# 1002T 09/30/18

Technician: Joseph Thompson Temp(°F): 94.0°

RH: 106.0%
Signature:

Scales and Balances * Torque Tools * Force * Pressure * Mass * Calibration Laboratory