FC1000E/SF1000E/X1020/L1020: EPA 2020 Certification Report

4300 N Bell School Rd. Loves Park, IL 61111

www.creamcityscale.com

490 Enterprise Dr. Lake Mills, W I 53551

Certificate of Calibration

Acc red itation # 82374

Customer: Address: City, State Zip:

Certificate ID: ISO Number: Date

Intertek Testing Services 8431 Murphy Drive Middleton, WISCONSIN 53562

117041494600044201304 ISO/IEC 17025 82374 4/13/2020

Indicator Mfg.

Base Mfg. Rice Lake Base Model 4x4 HP-1K Base Serial

Cal Date 4/13/2020 Due Date 10/13/2020 Procedure QWI 6.4.2

Scale ID

Scale Location

Rice Lake

1134

Hearth

Indicator Model

Scale Class

Scale Range

520

III

0 - 1000 lb x 0.1 lb

Indicator Serial

Scale Status

Test Interval 1494600044

C42769

In Service

6 Months

EQUIPMENT CONDITIONS [Working] Non-Working Clean Dirty Out Of Level

SHIFT TEST Shift Test Result: [Pass] Fail Adjust Not Applicable

Position

Position

1

2

1

4

2

4

3

3

All tolerances calculated in conformance with Handbook 44 Table 6. LOAD TEST Preliminary Load Test Test Wt. Reading Error 0.0 lb

Final Load Test Test Wt.

Reading 0.0 lb 100.0 lb 250.0 lb 500.0 lb 1000.0 lb

Error 0.0 lb 0.0 lb 0.0 lb 0.0 lb 0.0 lb

0.0 lb 100.0 lb 250.0 lb 500.0 lb 1000.0 lb

0.0 lb 0.0 lb 0.0 lb 0.0 lb 0.0 lb

0.0 lb 100.0 lb 250.0 lb 500.0 lb 1000.0 lb

100.0 lb 250.0 lb 500.0 lb 1000.0 lb

In maintenance tolerance? [Yes] No N/A

In maintenance tolerance? [Yes] No N/A

TEST INFORMATION Test Weight Classification:

F

Traceability Certificate Number(s):

W18-217A Cal Date: 7/23/2018 Recal Date: 7/23/2020, W18-217B Cal Date: 7/23/2018 Recal Date: 7/23/2020

Standards Used:

1000 lb #169; 50 lb #71, 72, 73, 74, 75, 76, 77, 78, 79, 80

Expanded Uncertainty:

See Comments [Onsite] Offsite

Test Location: Overall Result:

[Pass] Fail Adjust Was the scale within customers required accuracy? [Yes] No N/A Environmental Conditions:

[Acceptable] Unacceptable

Temperature:

66°F 40%

Humidity:

Comments / Notes:

Measurement of Uncertainty: 100 lb.= .012 lb./ 250 lb.= .0295 lb./ 500 lb.= .059 lb./ 1000 lb.= .118 lb.

Technician:

Mark Baker

Scales were calibrated with certified test weights. Adjustments made to restore and/or maintain the accuracy of the scale conform to the tolerances established by the National Institute of Standards and Technology as specified in Handbook 44 Section 2.20, manufacturers specifications or other written agreement with customer. Best measurement of uncertainty calculated using a coverage factor of K=2. This provides confidence level of 95%. Acceptance rule w=0. Overall result of PASS or ADJUST indicates measurement below or equal to the acceptance limit: AL=TL. Overall result of FAIL indicates measurement result above acceptance limit AL=TL. This certificate shall not be reproduced, except in full, without the written approval of the laboratory. Measurement uncertainty available upon request.This calibration test is accredited and meets the requirements of ISO/IEC 17025:2017 & ANSI/NCSL Z540-1-1994 as verified by Perry Johnson Laboratory Accreditation. Refer to certificate and scope of accreditation 82374.

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Form: 7.8-02/10/26/2019

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