13- Verification Certificate
Our references
Date and Name
of operator
The Certificate can
be with or without the
Hp(0.07) calibration for
X+Gamma depending on
the version
Procedure's reference number
Note: calibration target could
be different than 1
Forms reference
Serial numbers of
the calibrators used.
Name and address
of the customer
Certificate
single number
Filled in when
adjustment
Rate at which
the dosimeter
is irradiated
Tolerance on the
calibration target
Efficiency coefficient
of the dosimeter as
found
Read dose
Response after
adjustment or
verification
R = Read dose /
Expected dose
Reading dose
after verification
Response before adjustment
R = Read dose / Expected dose
New efficicency coefficient
of dosimeter (as left)
Expected dose in
regard of exposure
time (=expected dose
on the dosimeter for a
response (R) at 1)
{
Logo of the accreditation organism
Accreditation #: 2.1663
See www.cofrac.fr
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