1612

2901

H7. 6.12
"
H8. 5.21
"
"
H9. 5.12
"
"
"
"
"
H9. 11.5
"
"
H9. 12.11
"
"

1
3
1
2
3
2
3
6
8
9
10
1
2
3
1
4

"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"

 1612

2901

H10. 5.12
"
"
H14. 6.18
"
"
"

1
3
5
1
2
3
4

"
"
"
"
"
"

 1712

2901

H7. 6.12
"
H8. 5.21
"
"
H9. 5.12
"
"
"
"
"
H9. 11.5
"
"
H9. 12.11
"
"

1
3
1
2
3
2
3
6
8
9
10
1
2
3
1
4

"
"
"
"
"

"
"
"
"
"
"

 1712

2901

H10. 5.12
"
"
H14. 6.18
"
"
"

1
3
5
1
2
3
4

"
"
"
"
"

"

 184

2901

H7. 6.12
"
H8. 5.21
"
"
H9. 5.12
"
"
"
"
"
H9. 11.5
"
"
H9. 12.11
"
"

1
3
1
2
3
2
3
6
8
9
10
1
2
3
1
4

14618

"
"
"
"
"

"
"
"
"
"
"

18 4 19

2511

 184

2901

H10. 5.12
"
"
H14. 6.18
"
"
"
H18. 4.19
"

1
3
5
1
2
3
4
1
2

14618

"
"
"
"
"
"
"

18 4 19

"

2511

 1812

2901

H7. 6.12
"
H8. 5.21
"
"
H9. 5.12
"
"
"
H9. 11.5
"
"
H9. 12.11
"

1
3
1
2
3
2
6
9
10
1
2
3
1
4

18 121

161218

"
"
"
"
"
"
"
"
"
"
"
"
"

2511

 1812

2901

H10. 5.12
"
"
H14. 6.18
"
"
"
H18. 4.19
"
H18. 12.1

1
3
5
1
2
3
4
1
2
1

14618

"
"
"
"
"
"
"
"

18 12 1

"

2511

 197

2901

H14. 6.18
"
H18. 4.19
"
H18. 12.1

3
5
1
2
1

"
"
"
"

19 7 25
19724

2511

 1912

2901

H14. 6.18
"
H18. 4.19
"
H18. 12.1
H19. 7.24
H19. 8.29
"

3
5
1
2
1
1
1
2

"
"
"
"

"
"

19 12 25
19829

2511

Gray Scale For Assessing Staining

Performed parts:
Date:
Open date

Equipment No. Measure Result

Measurement Date :
Performed By:
Approved By:

pass/fail

Comment