Metro Logy Calibration Form

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Great Bay Community College

320 Corporate Drive


Portsmouth, NH 03801

Document Number: 4:17:1


Revision Number: 1
Effective Date: 19Aug08
Page 1 of 1

Calibration Form
Customer Information:
Contact Name___________________
Department Name Biotechnology _
Phone Number__559-1521_________

Equipment Information:
Name and Description: Balance/ 400G_____
Model: Scout Pro____________________
Serial Number:________________________
State and ID Number___________________

Calibration:
_________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Technician________________________
Date_____________________________
Passed Calibration:
Date of Calibration_______________
Technician_____________________
Calibration Sticker: Yes
No
Not Applicable
Calibration Due Date_____________
History:
Name
Bob OBrien
Bob OBrien

Date
07Jun07
19Aug08

Failed Calibration:
Reason for Failure_____________________
____________________________________
____________________________________
____________________________________
Date Out of Service____________________
Technician___________________________

Amendment
Initial Release
College name change

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