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

Fox Valley Metrology 3114 Medalist Drive Oshkosh, WI 54902 (920) 426-5894 ● Fax (920) 426-8120 http://www.FoxValleyMetrology.com

CERTIFICATE OF CALIBRATION

Certificate No. ACT-1272

This certificate shall not be altered in any form or reproduced, except in full, without prior written approval from originating lab. These results relate only to the item(s) calibrated. Form Revision 6: 02/04/2012

Certification Number CK098-39579-481

Procedures Followed

FVE-033 rev. 1

Intertek 8431 Murphy Drive Middleton, WI 53562

For

Purchase Order #

Timer

Test Instrument

Standards Used

Instrument FVS-648

Serial Number

Trace Number

Next Cal

N/A N/A

CK034-42744-397 CJ340-36290-481

02/28/2021 12/31/2020

94440-10 101587800 Cole-Parmer

Model Make

FVS-678

Identification Serial Number

█ ▀ █ ▀ █▄█▄█▄ █▀▀ ▄▄ █ ▀█ ▄ █▄█▄▀▄▀██▀▀▀▄▄ █ ▀ ▄██▀██▄▄█▄ █ ██▀▄▄ █▄ █▄▄ █▀▀███▄▄█▀▀▄▀▄ █▄▄██▄▄██▄█▄▄▄

1212

Hearth

Customer Location

Total expanded measurement uncertainties expressed are based on a confidence level of 95%; coverage factor of (k=2). The statement of compliance in this certificate was issued without taking the uncertainty of measurement into consideration. The customer shall assess the results and uncertainty when determining if the results meet their needs. (This is considered “shared responsibility.”) Uncertainties expressed in nominal units. All instruments have been calibrated against standards traceable to NIST. Calibration was completed in accordance with ISO/IEC 17025:2017, ANSI/NCSL Z540-1-1994 and ANSI/NCSL Z540.3-2006. Other standards listed upon request.

In Tolerance In Tolerance

Calibration Date Calibration Conditions Calibration Location Form Reviewed By Calibrated By Condition Returned Condition Received

Benjamin Kees M.T.

69.0°F, 20.6°C, 22.0%RH On Site

04/07/2020 04/07/2021

Recalibration Due

* denotes "Out of Tolerance"

Calibration Results

Feature

Nominal

Lower Limit

Upper Limit

As Found

As Left

Uncertainty

Timer

(sec)

(sec) 59.5 59.5 (sec) 299.5 299.5 (sec)

(sec) 60.5 60.5 (sec) 300.5 300.5 (sec)

(sec)

(sec)

(sec)

60 60

60 60

60 60

0.7 0.6

(sec)

(sec)

(sec)

(sec)

300 300

300 300

300 300

0.7 0.6

(sec) 1800 1800

(sec) 1800 1800

(sec) 1800 1800

(sec)

1799.5 1799.5

1800.5 1800.5

0.6 0.6

Certification Number CK098-39579-481

Job Number JK070-36547-497

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