Work Order Number: Date: Item Being Painted: A. Surface Preparation Surface Cleanliness Standard: Cleaning Method: Surface Condition Blast Profile Average: Number of Readings Taken: Abrasive Type: Abrasive Size: Contaminants Free Test: White Blotter Test: Ambient Temperature: Dew Point: Relative Humidity: Surface Temperature: Blast Operating Pressure (psi) B. Paint Application Equipment Primer 2nd Coat 3rd Coat Final Coat Brush/Roller/Conve. Spray/Airless Conventional Gun Airless Tip Size Pump Ratio Supply Pressure (psig) C. Painting Conditions Primer 2nd Coat 3rd Coat Final Coat Relative Humidity (%) Surface Temperature (°C) Ambient Temperature (°C) Dew Point Other Weather Conditions (rain, snow) D. Paint and Coating Materials Primer 2nd Coat 3rd Coat Final Coat Brand Name or Product Code Batch Number Product Number Specified DFT’s Actual DFT’s Number of Readings/Measurements Final Holiday Test Performed (number of holidays found/repaired) Holidays Repaired Reviewed By: Date: