PRESSURE AND VACUUM GAUGES

This form should accompany your instrument(s) when sending them to Massachusetts Metrology for calibration

Request Date:
(mm/dd/yyyy)		 Required By Date:
(mm/dd/yyyy)
Company Name: Company Contact:
Billing Address: Email Address:
    Phone:
    Fax:
       

Shipping  Requirements

Shipping Address
Massachusetts Metrology
and Instrument Service
One Liberty Square
Rockland, MA 02370
Phone: (781) 982-7125
Fax:     (781) 982-7152

 Return Shipping Information:
Company Name:
Contact:
Address:
Department:
Building / Lab Number:
   
Return Shipping Instructions:
   
(if other)
 
Return Shipping Insured Value:
Massachusetts Metrology’s primary shipping carrier is United Parcel Service.
     

Documentation Requirements   

All Calibration Certificates include “As Found” and “As Left” data and are NIST traceable.
Name on Certificate (if different from above):
Address on Certificate (if different from above):

Please select any additional documentation requirements that apply.
ISO/IEC 17025 Accredited Certificate  Uncertainty Required (no additional cost)

Not all calibrations performed at Massachusetts Metrology and Instrument Service are ISO/IEC 17025 Accredited. Please review our scope of accreditationfor further details.


Pressure and Vacuum Gauge(s) Description  

  Manufacturer Model Serial ID Tolerance Cal Interval Cost
1
2
3
4
5
6


24 Hour Expedited Service Required ($50.00 per Item)  Yes   No    
List All Item Numbers

 

48 Hour Expedited Service Required ($30.00 per Item)  Yes  No    
 List All Item Numbers

Expedited Calibration Service Must Be Scheduled in Advance With Customer Service - (781-982-7125)

Special Instructions and/or Method Requirements (if any)

Pricing

Full Pressure and Vacuum gauge calibration includes 5 test points throughout the gauge pressure and/or Vacuum range.

30”Hg Vac. to 5000 PSIG with Tolerance above 1% Range:  $55.00
30”Hg Vac. to 5000 PSIG with Tolerance Between .5% and 1% Range: 100.00
30”Hg Vac. to 5000 PSIG with Tolerance Between .25% and 49% Range: 115.00
30”Hg Vac. to 5000 PSIG with Tolerance Between .1% and 24% Range: 145.00
30”Hg Vac. to 5000 PSIG with Tolerance Better than .1% Range: 170.00
Price Additions: 
Each Additional Test Point: 15.00
Compound Gauge Add: 15.00
 If test points are above 5000 PSIG Add: $45.00
Required Test Point(s) (Optional)
1 6
2 7
3 8
4 9
5 10
If adjustments are required for optimization or to correct for an out of tolerance condition, add $25 to the above prices.

Payment Method

Payment Method: Established Account COD AMEX Master Card VISA
PO Number:
Dollar Amount (excluding shipping charges):
Credit Card Number:
Expiration Date (mm/dd/yyyy)
Name on Credit Card (including organization): 
Credit Card Billing Address Zip Code:

Statement of Decontamination                                                   

Please indicate any exposure of the shipped instrument(s) to hazardous chemicals and/or substances and how they have been decontaminated. Please check the box below and sign at the bottom

I certify that the aforementioned instrument(s) are free from any radioactive, hazardous, or otherwise dangerous substances        and are safe for human handling.

Name: Title: Date:

Print page and include 1 copy with your shipment and 1 copy for your files.

 

 

 
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