InstroTek ValiDator - Calibration Reports and Forms

InstroTek
10
ValiDator Evaluation Form
ValiDator S/N
___________________________
Verification/Calibration
Date:
____________
Gauge S/N
___________________________
Operator:
____________
Gauge Model
___________________________
Daily Standard
Counts
DS________________________
MS________________________
Calibration
Standard Counts
DS________________________ MS________________________
Establish these counts using the average counts from the results of a Stat Test, 20-
minute count or (5) 4 min. Counts. This data is used for the Calibration process.
Count Time
15 sec 1min 4 (Recommended) 16 20 Circle one
Gauge at Backscatter
Stop
Depth
Pass WD Fail
DC
Pass M Fail
MC
BS
P ____________ F
____________
P ____________ F
____________
BS
P ____________ F
____________
P ____________ F
____________
BS Avg.
P ____________ F
____________
P ____________ F
____________
2
P ____________ F
____________
3
P ____________ F
____________
4
P ____________ F
____________
5
P ____________ F
____________
6
P ____________ F
____________
7
P ____________ F
____________
8
P ____________ F
____________
9
P ____________ F
____________
10
P ____________ F
____________
11
P ____________ F
____________
12
P ____________ F
____________
12
P ____________ F
____________
12 Avg.
P ____________ F
____________
Notes/Re-counts: