Stumpp Schuele & Somappa Springs Pvt. Ltd.

INTERNAL PARTICULATE CLEANLINESS ANALYSIS REPORT

Doc. No. /Rev No. : GGN-MTR-001/00, Issue Date: 01.03.2020

Item Code : Date :

Customer Name : Report No. :

Part No. : Part mass (gm) :

Work Order No :

Total Qty checked :

Sample received on :

Test Conditions:

S.No. Parameter Actual

1 Reference Standard ISO : 16232-6-2007
2 Reference method Mass determination by gravimetric analysis
3 Balance reference number D307535967
4 Balance accuracy ±0.1mg
5 Cleaning Solvent used SAMSOL T2
6 Membrane filter diameter 47mm or more
7 Mean Pore size 5 micron
8 Air pressure nozzle size 2.5mm
9 Oven temperature 80±5°C
10 No. of samples tested

Specification

Blank Sample

Volume of sample used (mL)

Mass of clean membrane filter (mg)

(m1)

Mass of membrane filter with

contaminants (mg)(m2)

Mass of contaminant/sample (mg)

(mCi = (m2-m1)/n)

Results
(Cleanliness Rank)

Size of Contaminant (0.4mm)(max)

Conclusion:-

Tested By: Checked By: