CENTRAL PIEDMONT MAGNETIC PARTICLE

CHARLOTTE, NC REPORT FORM

Report No.: Site Date:
CPCC Job No.: Client: Page of
Component / Part No.: Procedure No.: Revision:

CODE/SPECIFICATION: MATERIAL SURFACE CONDITION ITEM

ACCEPTANCE CRITERIA: CARBON STEEL AS WELDED PIPE WELD

EQUIPMENT MFG. AS CAST PLATE ROOT PASS

STAINLESSSTEEL
EQUIPMENT MODEL: OTHER OTHER OTHER INTERMEDIATE PASS NO.
EQUIPMENT S/N: COVER PASS
EQUIPMENT CAL. DUE DATE: TEST MATERIAL MFG.: LIGHTMETER MFG.:
CURRENT: AC DC TEST MATERIAL COLOR: LIGHTMETER S/N:
YOKE PRODS HEAD SHOT TEST MATERIAL BATCH NO.: LIGHTMETER CAL. DUE DATE:
CENTRAL CONDUCTOR COIL DRY WET LIGHTMETER READING
AMPERAGE: VISIBLE FLUORESCENT WHITE LIGHT: fc
WRAPPED CABLE TURNS: DEAD WEIGHT: YES NO BLACK LIGHT: µw/cm 2
BATH CONCEN.: mL/100mL WEIGHT: Lbs. THERMOMETER MFG.:
LEG SPACING: in. DEAD WEIGHT MFG.: THERMOMETER S/N:
SURFACE TEMP: ºF DEAD WEIGHT S/N: THERMOMETER Cal. Due Date:
PARTICLE SUSPENSION MEDIUM OIL MAGNETIZATION METHOD DE- MAGNETIZATION REQUIRED
WATER CONTINUOUS RESIDUAL YES NO

RESULTS
INDICATION NO. LOCATION / DESCRIPTION ACCEPTABLE REJECT

COMMENTS:

SKETCH ATTECHED YES NO

Technician Name/signature Reviewer, Level & Date
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CENTRAL PIEDMONT MAGNETIC PARTICLE
CHARLOTTE, NC REPORT FORM

Technician Name/signature: Reviewer, Level & Date: