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TAG NO.

:
N T N LM E AO Y I I D T

QUALITY CONTROL
R .1 5 6 C 0 93

P&ID: SYSTEM NO.:

AREA: MANNUFACTURER: SERIAL NO.: OPERATION

INSTRUMENT FUNCTION-TESTING RANGE: MODEL NO.:

JOB NO.: CLIENT: DATE:

SPDC

QA/QC

CSR

DATE

INSTRUMENT CHECKED AGAINST DATA SHEET INSTRUMENT CHECKED FOR DAMAGE INSTRUMENT TAG NUMBER ATTACHED TO INSTRUMENT CALIBRATION TAG OR STICKER ATTACHED TO INSTRUMENT

HAND HELD _____________________ DCS

PERCENT OF TEST 0% 25 % 50 % 75 % 100 % FUNCTION-TESTING DATE: REMARKS:

FUNCTION-TESTING ISSUE FOR INSTALLATION INPUT OUTPUT

QA/QC INSPECTOR BY: BY:

CSR:

FILE REF:

CERTIFICATION
NATONY LTD. REP NAME DESIGNATION SIGN/DATE SPDC QA QC SPDC CSR

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